Individual
MR. LESLIE THARON CRANICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
12345 W BEND DR, SUITE 200, SAINT LOUIS, MO 63128-2104
(314) 843-8000
(314) 843-3004
Mailing address
12345 W BEND DR, SUITE 200, SAINT LOUIS, MO 63128-2104
(314) 843-8000
(314) 843-3004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2005036196
MO
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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