| NPI | 1568160364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK HAUG Owner 816-678-8178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-06-26 |