Individual
DR. PETER MAGNIFICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1112 FRANKLIN ST, LEXINGTON, MO 64067-1336
(660) 259-3121
Mailing address
1112 FRANKLIN ST, LEXINGTON, MO 64067-1336
(660) 259-3121
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004931
MO
Other
Enumeration date
01/06/2006
Last updated
07/08/2007
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