| NPI | 1790382174 |
|---|---|
| Former Legal Business Name | STUCKEY CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | MARK STUCKEY Owner 636-240-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |