Healthcare Provider Details

I. General information

NPI: 1306164710
Provider Name (Legal Business Name): CAMERON ANDREW MYERS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2010
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10019 WATSON RD
SAINT LOUIS MO
63126-1828
US

IV. Provider business mailing address

10019 WATSON RD
SAINT LOUIS MO
63126-1828
US

V. Phone/Fax

Practice location:
  • Phone: 314-691-0066
  • Fax: 314-462-9110
Mailing address:
  • Phone: 314-691-0066
  • Fax: 314-462-9110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2010005841
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: