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Individual
STEPHEN C. WALDROP
Active
Individual
STEPHEN C. WALDROP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC4771
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4065680
AETNA PROVIDER NUMBER
TX
01
—
601917
BLUE CROSS
TX
01
—
8116447
BLUELINK
TX
Enumeration date
10/20/2006
Last updated
10/20/2010
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