Daryl Ridgeway DC LLC

NPI #1053506097 in Wentzville, Missouri

Provider Information

NPI Number: 1053506097
Entity Type: Organization
Organization Name: Daryl Ridgeway DC LLC
Primary Specialty: Chiropractor
Enumeration Date: Sep 12, 2007
Last Updated: Sep 12, 2007

Practice Location

Address: 1023 MAIN PLAZA DR
City: Wentzville
State: Missouri
ZIP Code: 63385-1170
Phone: (636) 639-8944

Authorized Official

Name: DR. DARYL LEE RIDGEWAY, DC
Title: CHIROPRACTOR
Phone: (636) 639-8944

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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