Individual
DR. DAVID V BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11104 VETERANS MEMORIAL PKWY, LAKE ST LOUIS, MO 63367-1113
(636) 625-6000
(636) 625-6008
Mailing address
11104 VETERANS MEMORIAL PKWY, LAKE ST LOUIS, MO 63367-1113
(636) 625-6000
(636) 625-6000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005816
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3306
BLUE SHIELD
MO
Enumeration date
02/10/2007
Last updated
11/02/2009
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