Organization
GERALD B. VANDEN HOEK D/B/A MEDICAL ALTERNATIVES OF MISSOURI
Active
Organization
GERALD B. VANDEN HOEK D/B/A MEDICAL ALTERNATIVES OF MISSOURI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD B VANDEN HOEK D.C. (OWNER)
(314) 299-1524
Entity
Organization
Contact information
Practice address
2249 S BRENTWOOD BLVD, SAINT LOUIS, MO 63144-1834
(314) 299-1524
Mailing address
2249 SOUTH BRENTWOOD BLVD., ST. LOUIS, MO 63144
(314) 299-1524
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
—
—
111NN1001X
Nutrition Chiropractor
Primary
—
—
111NR0400X
Rehabilitation Chiropractor
—
—
111NX0800X
Orthopedic Chiropractor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11466743
CAQH NUMBER
IL
01
—
11466743
CAQH
MO
Enumeration date
02/12/2013
Last updated
02/22/2013
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