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Organization
ST. LOUIS CENTER FOR FUNCTIONAL MEDICINE, LLC
Active
Organization
ST. LOUIS CENTER FOR FUNCTIONAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R. NEUWIRTH D.C. (OWNER)
(314) 394-0636
Entity
Organization
Contact information
Practice address
1054 OLD DES PERES RD, DES PERES, MO 63131-1865
(314) 394-0636
(314) 394-1021
Mailing address
1054 OLD DES PERES RD, DES PERES, MO 63131-1865
(314) 394-0636
(314) 394-1021
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006776
MO
Other
Enumeration date
03/23/2010
Last updated
03/14/2011
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