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NPI Code Detail

MEDICARE: DR. KEITH ELTON BIGGS D.C.

MEDICARE: DR. KEITH ELTON BIGGS D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC4547AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1391886617OTHERAZTRIAD
2AZ0234340OTHERAZBLUE CROSS/SHIELD ID
3652995OTHERAZACN
41Z9629OTHERAZHEALTH NET

General Provider Information

NPI Number : 1245232891
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEITH ELTON BIGGS D.C.
Provider Business Mailing Address
First Line : 1500 N WESTWOOD BLVD
Second Line :
City : POPLAR BLUFF
State : MO
Zip : 63901-3318
Country : US
Telephone Number : 573-686-4151
Fax Number :
Provider Business Practice Location Address
First Line : 1500 N WESTWOOD BLVD
Second Line :
City : POPLAR BLUFF
State : MO
Zip : 63901-3318
Country : US
Telephone Number : 573-686-4151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 08/27/2014

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Directions to “ DR. KEITH ELTON BIGGS D.C.” Practice Location

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