MEDICARE: DR. RONALD FRANCIS NETZER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	003547	MO

General Provider Information

NPI Number	:	1114912953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD FRANCIS NETZER DC

Provider Business Mailing Address
First Line	:	213 E BOND ST
Second Line	:
City	:	MONETT
State	:	MO
Zip	:	65708-2353
Country	:	US
Telephone Number	:	417-235-7171
Fax Number	:

Provider Business Practice Location Address
First Line	:	213 E BOND ST
Second Line	:
City	:	MONETT
State	:	MO
Zip	:	65708-2353
Country	:	US
Telephone Number	:	417-235-7171
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	07/08/2007

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