Individual
BRYAN E. CRUTCHFIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15 E 19TH ST, HIGGINSVILLE, MO 64037-1521
(660) 584-7131
(660) 584-2034
Mailing address
15 E 19TH ST, HIGGINSVILLE, MO 64037-1521
(660) 584-7131
(660) 584-2034
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004942
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43-1811506
TAX ID
MO
Enumeration date
05/02/2007
Last updated
02/19/2013
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