Individual
MACY LAYTON RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1851 SCHOETTLER RD, CHESTERFIELD, MO 63017-5529
(573) 644-2606
Mailing address
1851 SCHOETTLER RD, CHESTERFIELD, MO 63017-5597
(573) 644-2606
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2022024298
MO
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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