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Individual
BRYAN E. CRUTCHFIED
Active
Individual
BRYAN E. CRUTCHFIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004942
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43-1811506
TAX ID
MO
Enumeration date
05/02/2007
Last updated
02/19/2013
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