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Individual
DR. EDGAR EVERETT III
Active
Individual
DR. EDGAR EVERETT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2006022760
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200250
BCBS
MO
Enumeration date
05/02/2006
Last updated
09/09/2008
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