| NPI | 1720319239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WILLS President/Managing Member 314-703-4439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO md101729) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 006568) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |