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Individual

MR. CLYDE WILLIAM SELLERS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
405 WALMART DR., SULLIVAN, MO 63080
(573) 468-8884
(573) 468-8886
Mailing address
405 WAL-MART DR., SULLIVAN, MO 63080
(573) 468-8884
(573) 468-8886

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006772
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
122127
BLUE CROSS BLUE SHIELD
MO
01
405868
HEALTHLINK
MO
Enumeration date
01/17/2007
Last updated
07/08/2007
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