| NPI | 1578617056 |
|---|---|
| Other Name | DR DUSTAN J MATTINGLY |
| Entity Type | Organization |
| Authorized Contact | RYAN RICHARD FREELAND Production Manager 314-352-3345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2003002102) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-11-29 |