Individual
DR. RONALD GLENNON NISBET JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7539 RAVENSRIDGE RD, SAINT LOUIS, MO 63119-5502
(314) 973-8936
Mailing address
657 SHOWPLACE CT, BALLWIN, MO 63021-6252
(314) 973-8936
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2006032027
MO
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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