| NPI | 1407954092 |
|---|---|
| Former Legal Business Name | WALTON CS V PC |
| Entity Type | Organization |
| Authorized Contact | AMY C GLASER Owner 636-947-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038-010376) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-11-07 |