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Individual

EDWARD ALLEN HENGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4006 BAYLESS AVE, SAINT LOUIS, MO 63125-1314
(314) 631-5550
(314) 631-5557
Mailing address
4006 BAYLESS AVE, SAINT LOUIS, MO 63125-1314
(314) 631-5550
(314) 631-5557

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005518
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7788
ANTHEM BLUE CROSS
MO
Enumeration date
10/03/2006
Last updated
05/13/2008
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