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Individual

DR. SETH MATTHEW HUDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3232 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63701-4904
(573) 335-7349
(573) 335-4055
Mailing address
3232 INDEPENDENCE ST, CAPE GIRARDEAU, MO 63701-4904
(573) 335-7349
(573) 335-4055

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2011011922
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
260300001
MEDICARE INDIVIDUAL PTAN
MO
01
A59826
HEALTHLINK ID
MO
Enumeration date
02/24/2011
Last updated
03/18/2014
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