Mark Alan Tudor, LAT

NPI #1326172149 in Beloit, Wisconsin

Provider Information

NPI Number
1326172149
Entity Type
Individual
Name
Mark Alan Tudor, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT
Enumeration Date
Mar 15, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1650 LEE LN
City
Beloit
ZIP Code
53511-3935
Phone
(608) 365-8660

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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