Individual
MR. GREGORY GERALD HAUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
700 CLARK STREET, ST LOUIS, MO 63102-1727
(314) 345-9600
(314) 345-9607
Mailing address
410 BALLWIN ESTATES CT, BALLWIN, MO 63021-4992
(636) 527-4809
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2005027153
MO
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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