Individual
MATTHEW BERNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
555 APEX DR, SAINT LOUIS, MO 63126-1447
(720) 273-7105
Mailing address
555 APEX DR, SAINT LOUIS, MO 63126-1447
(720) 273-7105
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2013044350
MO
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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