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Organization

BARON HEALTH SERVICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL S BUTLER D.C., R NCS T (MEMBER)
(636) 346-9430
Entity
Organization

Contact information

Practice address
11911 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3200
(636) 346-9430
(314) 569-1623
Mailing address
11911 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3200
(636) 346-9430
(314) 569-1623

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
004747
MO
207R00000X
Internal Medicine Physician
R4647
MO
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
768

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107758
BLUE CROSS BLUE SHIELD
MO
01
44 50059
UNITED HEALTH CARE
MO
Enumeration date
09/01/2009
Last updated
02/06/2014
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