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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 LlcInferred 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