Individual
DR. STEPHEN JOSEPH COSTANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
909 PURDUE AVE, UNIVERSITY CITY, MO 63130-3012
(314) 862-0101
Mailing address
909 PURDUE AVE, UNIVERSITY CITY, MO 63130-3012
(314) 862-0101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002032139
MO
Other
Enumeration date
06/15/2006
Last updated
03/08/2017
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