Individual
DR. RODNEY J BAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1420 W MEYER RD, WENTZVILLE, MO 63385-3499
(636) 639-9660
(636) 639-9135
Mailing address
1420 W. MEYER RD., WENTZVILLE, MO 63385
(636) 639-9660
(636) 639-9135
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002020920
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002282557004
UHC PROVIDER NUMBER
MO
01
—
165169
BLUE CROSS BLUE SHIELD MO
MO
01
—
231981
GHP
MO
01
—
7867758
AETNA
MO
01
—
P00721748
MEDICARE RAILROAD PTAN
MO
Enumeration date
09/25/2006
Last updated
04/14/2011
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