Individual
THOMAS PRANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 257-8000
Mailing address
100 MERCY WAY STE 310, JOPLIN, MO 64804-4524
(417) 556-8600
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2016005474
MO
Other
Enumeration date
02/29/2016
Last updated
09/23/2025
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