Individual
DR. COURTNEY CHAMPAGNE CRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4800 MEXICO RD STE 104, SAINT PETERS, MO 63376-1666
(636) 204-6447
(877) 349-7061
Mailing address
4800 MEXICO RD STE 104, SAINT PETERS, MO 63376-1666
(636) 204-6447
(877) 349-7061
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2015017799
MO
207N00000X
Dermatology Physician
Primary
2019014137
MO
Other
Enumeration date
06/16/2015
Last updated
06/11/2024
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