| NPI | 1649622499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL L GROGAN-WEBB Chiropractic Physician 636-728-9113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: MO 2016022433) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: MO 2016022433) |
| 111NS0005X Chiropractor, Sports Physician (Licence: MO 2016022433) | |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |