| NPI | 1902064223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAMS President 636-272-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: MO CD-006167) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2012-02-28 |