Individual
DR. JEFFREY H CITRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10035 PAGE AVE, SAINT LOUIS, MO 63132-1432
(314) 890-2400
(314) 890-2410
Mailing address
10035 PAGE AVE, SAINT LOUIS, MO 63132-1432
(314) 890-2400
(314) 890-2410
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04163
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123986
HEALTHLINK
MO
01
—
4494245
AETNA
MO
01
—
4934
BLUE CROSS PIN
MO
01
—
53503
MAILHANDLERS
MO
Enumeration date
11/14/2005
Last updated
05/27/2008
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