| NPI | 1467281170 |
|---|---|
| Doing Business As | 417 SPINE NORTH |
| Entity Type | Organization |
| Authorized Contact | CHARLES A MAURER Owner/Practitioner 417-720-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |