Individual
DR. TIMOTHY JOSEPH ST ONGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
574 HIGHWAY 248 STE 4, BRANSON, MO 65616-7733
(417) 598-0080
(888) 463-8877
Mailing address
574 HIGHWAY 248 STE 4, BRANSON, MO 65616-7733
(417) 598-0080
(888) 463-8877
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10070
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB164587
MEDICARE PTAN
TX
Enumeration date
07/01/2006
Last updated
07/21/2022
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