Individual
MR. SHAWN CHRISTIAN GARLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
17363 EDISON AVE, CHESTERFIELD, MO 63005
(636) 812-0094
(636) 812-0152
Mailing address
13537 BARRETT PARKWAY DRIVE, SUITE 105, BALLWIN, MO 63021
(314) 821-9126
(314) 821-9142
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2001018584
MO
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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