Mark Lawrence Hibbard

NPI #1063920965 in Jackson, Wyoming

Provider Information

NPI Number
1063920965
Entity Type
Individual
Name
Mark Lawrence Hibbard
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Jan 14, 2018
Last Updated
Jan 14, 2018

Practice Location

Address
120 W PEARL AVE
State
Wyoming
ZIP Code
83002
Phone
(307) 734-9129

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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