Organization
TEAM HEALTH CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN HUDDER D.C. (GENERAL PARTNER)
(314) 567-9990
Entity
Organization
Contact information
Practice address
8112 OLIVE BLVD, SAINT LOUIS, MO 63130-2023
(314) 567-9990
(314) 567-9991
Mailing address
8112 OLIVE BLVD, SAINT LOUIS, MO 63130-2023
(314) 567-9990
(314) 567-9991
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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