Individual
JOSEPH PAULSON DEMOSTHENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC,EMT-B, CPT
Contact information
Practice address
655 CRAIG RD STE 160, CREVE COEUR, MO 63141-7173
(561) 317-3431
Mailing address
655 CRAIG RD STE 160, CREVE COEUR, MO 63141-7173
(561) 317-3431
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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