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Organization

DAVID HADDEN, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID JAMES HADDEN D.C. (CHIROPRACTOR)
(636) 795-7082
Entity
Organization

Contact information

Practice address
2960 HIGHWAY K, O FALLON, MO 63368-7861
(636) 272-7473
(636) 272-8472
Mailing address
2960 HIGHWAY K, O FALLON, MO 63368-7861
(636) 272-7473
(636) 272-8472

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2005000656
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000015558
MEDICARE PTAN
Enumeration date
01/11/2008
Last updated
08/26/2010
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