Individual
EVAN CANTON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
807 SW 15TH ST, OAK GROVE, MO 64075-7039
(816) 463-1954
Mailing address
807 SW 15TH ST, OAK GROVE, MO 64075-7039
(816) 463-1954
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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