MR. Eldridge E Baltazar, L/ATC
NPI #1376285767 in Fort Bragg, North Carolina
Provider Information
- NPI Number
- 1376285767
- Entity Type
- Individual
- Name
- MR. Eldridge E Baltazar, L/ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- L/ATC
- Enumeration Date
- Apr 7, 2022
- Last Updated
- Jul 27, 2022
Practice Location
- Address
- 2416 KEERANS ST 82ND 3BCT
- City
- Fort Bragg
- State
- North Carolina
- ZIP Code
- 28310-7243
- Phone
- (910) 984-9119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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