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MR. ANTHONY PAUL BREITBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
3437 CAROLINE ST, SAINT LOUIS, MO 63104-1111
(314) 977-3295
(314) 977-3183
Mailing address
1054 TREETOP TRAIL DR, MANCHESTER, MO 63021-7719
(636) 227-7897

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
20000171123
MO

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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