Roger Davies, A.T.,C.
NPI #1770612129 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1770612129
- Entity Type
- Individual
- Name
- Roger Davies, A.T.,C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- A.T.,C.
- Enumeration Date
- Mar 3, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 690 JOHN ADAMS PKWY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-4073
- Phone
- (208) 604-0215
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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