Individual
AUSTIN ROBERT DEBOER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
650 MARYVILLE UNIVERSITY DR, SAINT LOUIS, MO 63141-7299
(314) 443-7097
Mailing address
14888 PHEASANT HILL CT, CHESTERFIELD, MO 63017-5431
(314) 443-7097
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2021007390
MO
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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