NPI | 1871912055 |
---|---|
Entity Type | Organization |
Authorized Contact | LOVIE NATHAN FREE Chiropractic Physician/Owner 314-843-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MO 2007030811) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2014-04-15 |