Individual
MR. DOMINIC CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4918 WEBER RD, SAINT LOUIS, MO 63123-5645
(314) 353-1477
Mailing address
4918 WEBER RD, SAINT LOUIS, MO 63123-5645
(314) 374-0517
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2020000927
MO
Other
Enumeration date
01/12/2020
Last updated
05/07/2020
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