Organization
PHOENIX CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN JOSEPH TAVERNARO DC (OWNER)
(573) 310-6042
Entity
Organization
Contact information
Practice address
602 MARKET ST, FULTON, MO 65251-1928
(573) 310-6042
Mailing address
602 MARKET ST, FULTON, MO 65251-1928
(573) 310-6042
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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