Individual
TOBY BARRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 623-1579
Mailing address
4545 LACLEDE AVE # 341, SAINT LOUIS, MO 63108-2061
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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