| NPI | 1700293644 |
|---|---|
| Doing Business As | BACK PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT J FAST Owner 314-704-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038009109) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-24 |