Individual
BENJAMIN MCNAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
476 APPLESTONE DR, BALLWIN, MO 63021-6331
(314) 392-2281
(314) 744-5379
Mailing address
476 APPLESTONE DR, BALLWIN, MO 63021-6331
(314) 392-2281
(314) 744-5379
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2001032067
MO
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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