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Individual

DR. JOSHUA WAYNE VANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
851 COLORADO, REPUBLIC, MO 65738-8424
(417) 732-4000
(417) 732-9702
Mailing address
851 COLORADO, REPUBLIC, MO 65738-8424
(417) 732-4000
(417) 732-9702

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006824
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
127734
BLUECROSS BLUESHIELD
MO
01
1841496
FIRST HEALTH
MO
01
350055042/DE0485
RR MEDICARE
MO
01
44-01210
UNITED HEALTHCARE
MO
Enumeration date
04/27/2006
Last updated
09/22/2011
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