Individual
RONALD L MARVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
712 S BROADWAY, OAK GROVE, MO 64075-8102
(816) 690-8383
(816) 690-8791
Mailing address
712 S BROADWAY, OAK GROVE, MO 64075-8102
(816) 690-8383
(816) 690-8791
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003977
MO
Other
Enumeration date
11/21/2007
Last updated
12/03/2007
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