MR. Darrell Layne Ganus, MED, LAT, ATC

NPI #1417086141 in Kilgore, Texas

Provider Information

NPI Number
1417086141
Entity Type
Individual
Name
MR. Darrell Layne Ganus, MED, LAT, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MED, LAT, ATC
Enumeration Date
Mar 6, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
301 N KILGORE ST
State
Texas
ZIP Code
75662-5825
Phone
(903) 983-3307

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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