MR. William David Anderson JR., MS, ATC, LAT

NPI #1033129416 in Kilgore, Texas

Provider Information

NPI Number
1033129416
Entity Type
Individual
Name
MR. William David Anderson JR., MS, ATC, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MS, ATC, LAT
Enumeration Date
Aug 9, 2006
Last Updated
Oct 24, 2012

Practice Location

Address
1100 BROADWAY BLVD
State
Texas
ZIP Code
75662-3204
Phone
(903) 983-8628

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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