Individual
MR. JAMES MICHAEL CRAGHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
14825 N OUTER FORTY RD, STE 300, CHESTERFIELD, MO 63005
(636) 581-2121
(636) 812-0159
Mailing address
12380 CREEK RUN DR, APT E, CREVE COEUR, MO 63141
(636) 373-0475
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2005024538
MO
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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