Individual
DR. DONALD A DEGRANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 S NEW BALLAS RD STE 142A, SAINT LOUIS, MO 63141-8254
(314) 251-3990
(314) 251-5390
Mailing address
777 S NEW BALLAS RD STE 329E, SAINT LOUIS, MO 63141-8720
(314) 994-0313
(314) 994-0373
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
2009013842
MO
Other
Enumeration date
04/11/2006
Last updated
07/14/2014
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