| NPI | 1841722857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT JACOB CLARK Chiropractor 314-704-1095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MO 2016044966) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |