Organization
DARYL RIDGEWAY DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARYL LEE RIDGEWAY DC (CHIROPRACTOR)
(636) 639-8944
Entity
Organization
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
09/12/2007
Last updated
09/12/2007
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