Individual
DR. STEPHANIE HEAVENER DENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1000 LAKE SAINT LOUIS BLVD, SUITE 100, LAKE ST LOUIS, MO 63367-1340
(636) 695-4570
(636) 625-4554
Mailing address
1000 LAKE SAINT LOUIS BLVD, SUITE 100, LAKE ST LOUIS, MO 63367-1340
(636) 695-4570
(636) 625-4554
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2009000021
MO
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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