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Individual

AUBRA A HOUCHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
408 JUNGERMANN RD, ST PETERS, MO 63376-2799
(636) 449-5757
(636) 449-5750
Mailing address
4 BRANTLEIGH CT, SAINT CHARLES, MO 63301-4117
(636) 947-4892

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R5C54
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0100268
MEDICARE COMPLETE
MO
01
100513
BLUECROSS BLUESHIELD MO
MO
01
104866
HEALTHLINK
MO
05
242530400
MO
01
32396
GROUP HEALTH PLAN (GHP)
MO
01
40514
HEALTHCARE USA
MO
01
4078508
AETNA
MO
01
431482544
UNITED HEALTHCARE
MO
01
9458
BLUECROSS BLUESHIELD
MO
01
A10766
MERCY HEALTH PLANS
MO
01
PC10213
CIGNA
MO
Enumeration date
02/02/2006
Last updated
04/24/2008
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