| NPI | 1639560311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER A HASLETT Owner/Provider 314-306-8782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2014040733) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |