MR. Brent M. Faure, MS, ATC

NPI #1649295825 in Pocatello, Idaho

Provider Information

NPI Number
1649295825
Entity Type
Individual
Name
MR. Brent M. Faure, MS, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MS, ATC
Enumeration Date
Jul 12, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
13279 N MOONGLOW LN
State
Idaho
ZIP Code
83202-5122
Phone
(208) 237-2971

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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