Individual
MR. BENJAMIN KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
101 N WARSON RD, SAINT LOUIS, MO 63124-1326
(314) 650-5888
Mailing address
101 N WARSON RD, SAINT LOUIS, MO 63124-1326
(314) 650-5888
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2012017447
MO
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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