| NPI | 1427429075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MURREL WARNER Billing Clerk 314-402-8963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-13 |