Individual
DR. STEVEN JOSEPH TAVERNARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., MS
Contact information
Practice address
21 CONLEY RD STE L2, COLUMBIA, MO 65201-6484
(314) 540-8371
Mailing address
2401 W BROADWAY APT 1107, COLUMBIA, MO 65203-1252
(816) 200-8310
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2020038668
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020038668
STATE LICENSE
MO
Enumeration date
01/28/2021
Last updated
01/28/2021
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