Individual
DR. JACOB HEDGES UTTERBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
140 W ADAMS AVE, KIRKWOOD, MO 63122-4023
(314) 965-8084
(314) 965-8612
Mailing address
140 W ADAMS AVE, KIRKWOOD, MO 63122-4023
(314) 965-8084
(314) 965-8612
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2007000279
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
791611
HEALTHLINK
MO
Enumeration date
02/05/2007
Last updated
04/27/2009
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