Individual
DR. TERESA DARLENE HAZELWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
5055 HWY N STE. #105, ST. CHARLES, MO 63304-8031
(314) 402-5910
(636) 235-4200
Mailing address
5055 HWY N STE. #105, ST. CHARLES, MO 63304-8031
(314) 402-5910
(636) 235-4200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006567
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104898
GHP
MO
01
—
151771
BC BS OF MO
MO
01
—
333832
HEALTHLINK
MO
01
—
4400706
UHC
MO
Enumeration date
01/03/2007
Last updated
06/03/2013
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