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Individual

DR. JAMES STEVEN WADDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
6716 NORTH OAK TRAFFICWAY, GLADSTONE, MO 64118-3345
(816) 436-7153
(816) 436-7158
Mailing address
6716 NORTH OAK TRAFFICWAY, GLADSTONE, MO 64118-3345
(816) 436-7153
(816) 436-7158

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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