David Christopher Declue, D.C. Valid NPI
Individual provider · Chiropractor · O Fallon, MO
- NPI
- 1063718732
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- 2011001913 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-01-28
- Last updated
- 2011-01-28
Practice location
2315 Technology Dr, Suite 107
O Fallon, MO 63368-7370
(314) 607-1973