Individual
DR. STACEY LEIGH BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
8045 BIG BEND BLVD, SUITE 107, SAINT LOUIS, MO 63119-2714
(314) 961-7181
(314) 961-6323
Mailing address
8045 BIG BEND BLVD, SUITE 107, SAINT LOUIS, MO 63119-2714
(314) 961-7181
(314) 961-6323
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038.010887
IL
111N00000X
Chiropractor
Primary
2006028734
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212982
ANTHEM BLUE CROSS BLUE SHIELD
MO
Enumeration date
10/24/2006
Last updated
05/29/2008
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