Individual
DR. TRENTON PARKER CIVELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2051 S LINDBERGH, FRONTENAC, MO 63131
(148) 880-8583
Mailing address
2051 S LINDBERGH, FRONTENAC, MO 63131
(314) 888-0858
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2018022370
MO
Other
Enumeration date
04/23/2019
Last updated
01/06/2022
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