Individual
SEATON LANCE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 PARK AVE, SAINT LOUIS, MO 63104-3024
(866) 626-2878
Mailing address
1001 N FRANKLIN ST, KIRKSVILLE, MO 63501-2235
(817) 964-0805
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MO
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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