Stephen Douglas Defranc, ATHLETIC TRAINER

NPI #1164496089 in Buzzards Bay, Massachusetts

Provider Information

NPI Number: 1164496089
Entity Type: Individual
Name: Stephen Douglas Defranc, ATHLETIC TRAINER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: ATHLETIC TRAINER
Enumeration Date: Feb 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 101 ACADEMY DR
Address 2: MASSACHUSETTS MARITIME ACADEMY
City: Buzzards Bay
State: Massachusetts
ZIP Code: 02532-3405
Phone: (781) 337-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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