MR. Peter Martin Stoll, LAT, EMT-B

NPI #1205181906 in Springfield, Illinois

Provider Information

NPI Number
1205181906
Entity Type
Individual
Name
MR. Peter Martin Stoll, LAT, EMT-B
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT, EMT-B
Enumeration Date
Jul 18, 2012
Last Updated
Jul 18, 2012

Practice Location

Address
3631 S 6TH ST
Address 2
SUITE B
ZIP Code
62703-4777
Phone
(217) 744-7529

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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