| NPI | 1689975252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB H UTTERBACK Chiropractor/Member 314-551-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MO 2007000279) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: MO CE006295) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-11-12 |