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Individual
DR. JAMES STEVEN WADDELL
Active
Individual
DR. JAMES STEVEN WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4436
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085S008
AETNA
MO
01
—
167788016
BCBS
MO
05
—
752851907
—
MO
Enumeration date
07/12/2006
Last updated
10/05/2010
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