NPI 1003846700

Leslie Tharon Cranick, PA

Practitioner Physician Assistant Saint Louis, MO

Practice location

Address: 12345 W Bend Dr Suite 200, Saint Louis, MO 63128-2104
Phone: (314) 843-8000
Fax: (314) 843-3004

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2005036196 (MO)

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Registry record

NPI: 1003846700
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.