Individual
DR. TERRY AURTHUR SURTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4127 MEXICO RD, SAINT PETERS, MO 63376-6410
(636) 441-5700
(636) 441-7784
Mailing address
4127 MEXICO RD, SAINT PETERS, MO 63376-6410
(636) 441-5700
(636) 441-7784
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003718
MO
111NS0005X
Sports Physician Chiropractor
003718
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109916
HEALTHLINK
MO
01
—
28169
BLUE CROSS BLUE SHIELD
MO
01
—
391886617
TRIAD
MO
01
—
4400388
UNITED HEALTHCARE
MO
Enumeration date
07/11/2006
Last updated
11/10/2008
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