Individual
VINCENT CARL SIRAGUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1201 LANDMARK AVE, LIBERTY, MO 64068-1050
(816) 792-1766
(816) 792-1201
Mailing address
5305 NE 70TH ST, KANSAS CITY, MO 64119-5605
(816) 215-7619
(816) 792-1201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6282
MO
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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