Individual
DR. WAYNE HUDDLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2100 E BROADWAY, SUITE 308, COLUMBIA, MO 65201-6082
(573) 499-0449
(573) 499-0449
Mailing address
2100 E BROADWAY, SUITE 308, COLUMBIA, MO 65201-6082
(573) 499-0449
(573) 499-0449
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE6401
MO
Other
Enumeration date
11/26/2005
Last updated
07/08/2007
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