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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