| NPI | 1720122401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT LOUIS DEVEREUX Doctor Owner 314-894-1842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 006736) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |