Individual
MR. RANDY LEE BIGGERSTAFF
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
209 S KINGSHIGHWAY ST, SAINT CHARLES, MO 63301-1693
(636) 949-4683
(636) 949-4636
Mailing address
PO BOX 6, 200 FORD STREET, GRAY SUMMIT, MO 63039-0006
(636) 742-2738
(636) 949-4636
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00014
MO
Other
Enumeration date
03/19/2006
Last updated
07/08/2007
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