| NPI | 1891856555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R MONTGOMERY Medical Arts Manager 417-877-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 006612) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MO 2002030343) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |