Individual
DR. DUSTAN J. MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8430 WATSON RD, SAINT LOUIS, MO 63119-5217
(314) 635-1008
(314) 635-1013
Mailing address
8430 WATSON RD, SAINT LOUIS, MO 63119-5217
(314) 635-1008
(314) 635-1013
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2003002102
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508048257
NPI
—
Enumeration date
12/04/2007
Last updated
12/12/2022
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