Individual
DR. EDGAR EVERETT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2050 WOODSON RD, STE #101, OVERLAND, MO 63114-5644
(314) 713-1656
(314) 395-0607
Mailing address
2050 WOODSON RD, STE #101, OVERLAND, MO 63114-5644
(314) 713-1656
(314) 395-0607
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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