Individual
DR. DENIS WILLIAM HARTLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11935 OLIVE BLVD, CREVE COEUR, MO 63141-6729
(314) 432-0005
Mailing address
11935 OLIVE BLVD, CREVE COEUR, MO 63141-6729
(314) 432-0005
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE005373
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22444
BLUE CROSS BLUE SHIELD
MO
01
—
4408241
UNITED HEALTH CARE
MO
Enumeration date
11/27/2006
Last updated
07/08/2007
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