Individual
MR. GREGG D CRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
5228 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63109-2923
(636) 343-3355
Mailing address
5228 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63109-2923
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
109857
MO
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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