Individual
RYAN JAMES DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10180 CLAIRMONT DR, SAINT LOUIS, MO 63136-3170
(213) 422-8337
Mailing address
10180 CLAIRMONT DR, SAINT LOUIS, MO 63136-3170
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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