Logan Tyler North, D.C. Valid NPI
Individual provider · Chiropractor · O Fallon, MO
- NPI
- 1013424357
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- 2020035024 (MO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2018-01-09
- Last updated
- 2020-10-19
Practice location
109 Church St
O Fallon, MO 63366-2894
(636) 240-2225