Individual
DR. DANIEL MICHAEL FAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
456 N. NEW BALLAS RD., SUITE 342, CREVE COEUR, MO 63141
(314) 528-8395
(314) 474-0212
Mailing address
456 N. NEW BALLAS RD., SUITE 342, CREVE COEUR, MO 63141
(314) 528-8395
(314) 474-0212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2009030088
MO
Other
Enumeration date
09/08/2009
Last updated
10/17/2023
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