Missouri State University Athletic Training Servicesis
NPI #1427021765 in Springfield, Missouri
Provider Information
- NPI Number
- 1427021765
- Entity Type
- Organization
- Organization Name
- Missouri State University Athletic Training Servicesis
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Feb 8, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 901 S NATIONAL AVE
- City
- Springfield
- State
- Missouri
- ZIP Code
- 65804-0027
- Phone
- (417) 836-5461
Authorized Official
- Name
- MR. IVAN EUGENE MILTON, A.T.
- Title
- DIRECTOR ATHLETIC TRAINING SERVICES
- Phone
- (417) 836-5461
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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