Organization
HAWK RIDGE FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL L ROACH D.C. (OWNER)
(636) 400-3213
Entity
Organization
Contact information
Practice address
606 E BOONESLICK, WARRENTON, MO 63383
(636) 400-3213
(636) 238-2898
Mailing address
606 E BOONESLICK, WARRENTON, MO 63383
(636) 400-3213
(636) 238-2898
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2010033249
MO
Other
Enumeration date
09/29/2010
Last updated
12/05/2023
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