Individual
GRANT GARTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 257-8000
Mailing address
4370 CHOUTEAU AVE APT 4370, SAINT LOUIS, MO 63110-1648
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2025043159
MO
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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