Individual
DR. TAUNYA L WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C., L.AC.
Contact information
Practice address
5 AUCHLY LN, SAINT PETERS, MO 63376-2037
(636) 970-1213
Mailing address
5 AUCHLY LN, SAINT PETERS, MO 63376-2037
(636) 970-1213
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006650
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118173
BLUE CROSS BLUE SHIELD
MO
01
—
1837209
UNITED HEALTHCARE
MO
01
—
503680
PHCS
MO
Enumeration date
04/08/2007
Last updated
07/08/2007
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