Organization
ROOTS OF WELLNESS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL FAZIO D.C. (OWNER)
(636) 227-4442
Entity
Organization
Contact information
Practice address
510 BAXTER RD, SUITE 8, CHESTERFIELD, MO 63017-7032
(636) 227-4442
(636) 227-4449
Mailing address
510 BAXTER RD, SUITE 8, CHESTERFIELD, MO 63017-7032
(636) 227-4442
(636) 227-4449
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2009030088
MO
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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