| NPI | 1649676735 |
|---|---|
| Former Legal Business Name | VITAL FORCE UPPER CERVICAL CLINIC LLC |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M BAGLEY Owner 314-596-4070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2008000933) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |