Organization
DONALD A. DEGRANGE,MD,LLC
Active
Organization
DONALD A. DEGRANGE,MD,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD ARTHUR DEGRANGE MD (CEO)
(314) 251-3990
Entity
Organization
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 142A, SAINT LOUIS, MO 63141-8232
(314) 251-3990
(314) 251-5390
Mailing address
621 S NEW BALLAS RD, SUITE 142A, SAINT LOUIS, MO 63141-8232
(314) 251-3990
(314) 251-5390
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
2009013842
MO
Other
Enumeration date
08/12/2009
Last updated
09/11/2009
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