SearchMissouri171W00000X

Jerry Huber

NPI 1619157799 · on the registry since 2007 · sole proprietor

Practice

Address
743 Spirit 40 Park Dr
Ste 121
Chesterfield, MO 63005
Phone
(314) 220-4000
Organisation at this address
Incoba Llc
Gotchurback Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
171W00000X
171W00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-11-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri