Phillip Stover

NPI #1679930978 in Franklin, Ohio

Provider Information

NPI Number: 1679930978
Entity Type: Individual
Name: Phillip Stover
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 19, 2016
Last Updated: Jan 19, 2016

Practice Location

Address: 11 CLEARVIEW LN
City: Franklin
State: Ohio
ZIP Code: 45005-2388
Phone: (937) 305-1258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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