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Individual

DR. SCOTT HAINZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
763 S NEW BALLAS RD, SUITE 230, CREVE COEUR, MO 63141-8704
(314) 681-2800
(314) 432-5088
Mailing address
16412 GREEN PINES DR, WILDWOOD, MO 63011-1850
(314) 378-6071

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005286
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
118049
ANTHEM PROVIDER ID
MO
01
4668120
AETNA PROVIDER ID
MO
01
628115
ACN PROVIDER ID
MO
Enumeration date
07/06/2006
Last updated
04/03/2009
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