Organization
SIRAGUSO CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT CARL SIRAGUSO D.C. (OWNER/PHYSICIAN)
(816) 415-2900
Entity
Organization
Contact information
Practice address
113 BLUE JAY DR, SUITE 106, LIBERTY, MO 64068-1997
(816) 415-2900
(816) 415-2903
Mailing address
113 BLUE JAY DR, SUITE 106, LIBERTY, MO 64068-1997
(816) 415-2900
(816) 415-2903
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
006282
MO
Other
Enumeration date
11/06/2007
Last updated
12/21/2007
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