Individual
MR. GARY L HAZELRIGG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
802 N RIVERSIDE RD, SAINT JOSEPH, MO 64507-9794
(816) 271-4953
Mailing address
2817 LOVERS LN, SAINT JOSEPH, MO 64506-1523
(816) 364-5803
(816) 279-7574
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00032
MO
Other
Enumeration date
06/17/2006
Last updated
07/08/2007
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