Individual
GLEN BUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1851 SCHOETTLER RD, CHESTERFIELD, MO 63017-5529
(636) 227-2100
Mailing address
1851 SCHOETTLER RD, CHESTERFIELD, MO 63017-5529
(636) 227-2100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004853
MO
Other
Enumeration date
06/21/2006
Last updated
07/09/2007
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