| NPI | 1568594232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DAVID GOODWIN President 314-965-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 225100000X Physical Therapist | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |