Individual
DERRICK CRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
333 S KIRKWOOD RD, SAINT LOUIS, MO 63122-6161
(314) 909-1666
(314) 909-7406
Mailing address
3911 JUNIATA ST, SAINT LOUIS, MO 63116-3911
(414) 350-1015
(314) 909-7406
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2014006254
MO
363AS0400X
Surgical Physician Assistant
2014006254
MO
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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