Individual
DR. SUSAN LEA ROECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1206 S MAIN ST, MARYVILLE, MO 64468-2604
(660) 582-5959
Mailing address
1206 S MAIN ST, MARYVILLE, MO 64468-2604
(816) 383-1225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
201201392
MO
Other
Enumeration date
07/23/2012
Last updated
09/08/2016
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