Individual
DR. MARK ANTHONY HEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3533 DUNN RD STE 236, FLORISSANT, MO 63033-6761
(314) 831-8877
(314) 831-8874
Mailing address
3533 DUNN RD STE 236, FLORISSANT, MO 63033-6761
(314) 831-8877
(314) 831-8874
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2005019885
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205274
BLUE CROSS PROVIDER NUMBE
MO
Enumeration date
07/17/2006
Last updated
09/19/2008
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