Matthew David Goodwin, D.C. Valid NPI
Individual provider · Chiropractor · O Fallon, MO
- NPI
- 1265562540
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- 006474 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-03-06
- Last updated
- 2007-07-08
Practice location
2682 Babble Creek Ln
O Fallon, MO 63368-8337
(636) 978-3000