| NPI | 1811248404 |
|---|---|
| Former Legal Business Name | DOC ON DEMAND, LLC |
| Entity Type | Organization |
| Authorized Contact | SHANNA L WILDE Billing Specialist/Manager 636-495-6158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2012030950) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2022-07-21 |