| NPI | 1528288693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RENEE LONG Doctor Of Chiropractic 573-760-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MO 5812) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2011-08-11 |