Organization
GODWIN CHIROPRACTIC LLC
Active
Other names
Godwin Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW SCOTT GODWIN D.C. (OWNER)
(314) 239-3042
Entity
Organization
Contact information
Practice address
1139 COLONNADE CTR, SAINT LOUIS, MO 63131-4328
(314) 239-3042
Mailing address
1139 COLONNADE CTR, DES PERES, MO 63131-4328
(314) 239-3042
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2009024561
MO
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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