Individual
DR. DARYL LEE RIDGEWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1023 MAIN PLAZA DR, WENTZVILLE, MO 63385-1170
(636) 639-8944
Mailing address
1023 MAIN PLAZA DR, WENTZVILLE, MO 63385-1170
(636) 639-8944
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006613
MO
Other
Enumeration date
12/13/2006
Last updated
07/02/2008
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