NPI 1215902648

Lyndon Bernard Gross, MDPHD

Practitioner Sports Medicine (Neuromusculoskeletal Medicine) Physician Creve Coeur, MO

Practice location

Address: 11330 Olive Blvd Suite 150, Creve Coeur, MO 63141
Phone: (314) 336-2566
Fax: (314) 948-9011

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 119343 (MO)

Other Neuromusculoskeletal Medicine, Sports Medicine providers in Missouri →

Registry record

NPI: 1215902648
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2006
Record last updated: 6 Jun 2024

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.