Individual
DR. RON R. FAROTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5820 S GRAND BLVD, SAINT LOUIS, MO 63111-2305
(314) 351-4273
(800) 595-7476
Mailing address
5820 S GRAND BLVD, SAINT LOUIS, MO 63111-2305
(314) 351-4273
(800) 595-7476
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5478
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10228X
BC/BS ID
MO
01
—
203BG0000X
HEALTHLINK CODE
MO
01
—
4348100
CIGNA ID
MO
01
—
44-80052
UNITED HEALTH CARE PROVID
MO
01
—
5938070
AETNA PIN CODE
MO
Enumeration date
07/27/2006
Last updated
06/03/2010
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