Individual
JEREMY DAVID HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
705 W HIGHWAY 50, O FALLON, IL 62269-1900
(618) 624-4242
Mailing address
408 LAKE STRATFORD CIR, FAIRVIEW HEIGHTS, IL 62208-3400
(618) 978-6956
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2519
TN
Other
Enumeration date
04/15/2011
Last updated
11/07/2011
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