Individual
DAVID HENRY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6643 SHEPLEY DR, SAINT LOUIS, MO 63105-2354
(314) 935-6677
Mailing address
6209 THOLOZAN AVE, SAINT LOUIS, MO 63109-1367
(314) 435-9713
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2015038420
MO
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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