Individual provider · Type 1 NPI
Richard Stavros Mento, DC
Chiropractor · Rock Island, IL
NPI number
1548457526
Active
Practice location
1770 44th St
Rock Island, IL 61201-3916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | A5287 (IA) |
| Chiropractor | 111N00000X | DC004823L (PA) |
| Chiropractor Primary | 111N00000X | None listed |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1548457526
Richard Stavros Mento, DC's National Provider Identifier is 1548457526, issued on Oct 3, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Rock Island, IL. The record was last updated on Oct 3, 2007.