Individual
DR. PAUL W DESCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
508 WEST PEARCE, WENTZVILLE, MO 63385-1328
(636) 327-8844
(636) 327-8844
Mailing address
508 WEST PEARCE, WENTZVILLE, MO 63385-1328
(636) 327-8844
(636) 327-8844
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
003417
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34487
PNCS
MO
01
—
5594
BLUE CROSS
MO
Enumeration date
10/23/2006
Last updated
07/08/2007
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