Individual
RICHARD EVAN CRANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1585 WOODLAKE DR, SUITE 206, CHESTERFIELD, MO 63017-5740
(314) 878-6300
Mailing address
13326 BUCKLAND HALL RD, SAINT LOUIS, MO 63131-1214
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R4E27
MO
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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