Individual
BRIAN EDWARD WURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1232 BRANSON HILLS PKWY, SUITE 202, BRANSON, MO 65616-9943
(417) 338-9355
(417) 708-9797
Mailing address
1232 BRANSON HILLS PKWY, SUITE 202, BRANSON, MO 65616-9943
(417) 338-9355
(417) 708-9797
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002030435
MO
111N00000X
Chiropractor
4943
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35WCGJH04
AZ. STATE COMP.
AZ
01
—
AZ0930480
BLUECROSS BLUESHIELD AZ
AZ
Enumeration date
03/23/2006
Last updated
11/29/2016
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