Individual
DEAN PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1027 S VANDEVENTER AVE STE 700, SAINT LOUIS, MO 63110-3842
(314) 203-1431
Mailing address
1027 S VANDEVENTER AVE STE 700, SAINT LOUIS, MO 63110-3842
(314) 203-1431
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
MONAVD3300006
MO
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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