Individual
PAUL RYAN SIVO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 S MAIN ST STE D, GRAIN VALLEY, MO 64029-9703
(816) 443-5485
Mailing address
717 NE TUDOR RD APT 6, LEES SUMMIT, MO 64086-5784
(401) 829-3758
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2022017324
MO
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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