| NPI | 1376813733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT GROGAN Chiropractic Physician 314-435-3878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2012000016) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-04-19 |