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Individual

DR. DAVID STUART WALLACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2330 HIGHWAY 94 SOUTH OUTER RD, SAINT CHARLES, MO 63303-8301
(636) 498-2346
Mailing address
2330 HIGHWAY 94 SOUTH OUTER RD, SAINT CHARLES, MO 63303-8301
(636) 498-2346

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006811
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
131625
BLUECROSS BLUESHIELD
MO
01
3391509
CIGNA
MO
01
4400088
UNITED HEALTHCARE
MO
Enumeration date
04/12/2007
Last updated
07/08/2007
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