Individual
DR. PETER JOHN ROSCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2821 N BALLAS RD STE C55, SAINT LOUIS, MO 63131-2386
(314) 989-1805
Mailing address
2821 N BALLAS RD, STE C55, SAINT LOUIS, MO 63131-2386
(314) 542-2205
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2001020193
MO
Other
Enumeration date
02/07/2007
Last updated
04/28/2017
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