| NPI | 1912246950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD B VANDEN HOEK Owner 314-299-1524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology |
| 111NR0400X | |
| 111NX0800X Chiropractor, Orthopedic | |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2013-02-22 |