Individual
GLEN SCOTT HUDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8112 OLIVE BLVD, SAINT LOUIS, MO 63130-2023
(314) 567-9990
(314) 567-9991
Mailing address
8112 OLIVE BLVD, SAINT LOUIS, MO 63130-2023
(314) 567-9990
(314) 567-9991
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2000153527
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143517
BLUE CROSS BLUE SHIELD
MO
01
—
44-00153
UNITED HEALTHCARE
MO
Enumeration date
12/27/2006
Last updated
07/08/2007
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