MISSOURI SPINE CARE LLC NPI 1568594232

NPI Information

MISSOURI SPINE CARE, LLC is a chiropractor in Saint Louis, MO. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. MISSOURI SPINE CARE, LLC NPI is 1568594232. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3555 SUNSET OFFICE DR
SUITE C110
SAINT LOUIS, MO
ZIP 63127-015
Phone: (314) 965-5050
Fax: (314) 966-5565

The provider's authorized official is Matthew David Goodwin .
The authorized official title is President and has the following contact phone number (314) 965-5050.

The CLIA number assigned to this NPI record is 26D1003380 - other - cancer center and radiolo with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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