MEDICARE: DR. RONALD TERRY MUSCHANY 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	003613	MO

General Provider Information

NPI Number	:	1326030321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD TERRY MUSCHANY DC

Provider Business Mailing Address
First Line	:	7817 S BROADWAY
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63111-3622
Country	:	US
Telephone Number	:	314-638-4511
Fax Number	:

Provider Business Practice Location Address
First Line	:	7817 S BROADWAY
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63111-3622
Country	:	US
Telephone Number	:	314-638-4511
Fax Number	:

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

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	07/08/2007

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