MR. Stephen Paul Mock, ATC
NPI #1780787622 in Mississippi State, Mississippi
Provider Information
- NPI Number
- 1780787622
- Entity Type
- Individual
- Name
- MR. Stephen Paul Mock, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Sep 6, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1 SHIRA FIELDHOUSE
- Address 2
- LAKEVIEW DRIVE
- State
- Mississippi
- ZIP Code
- 39762
- Phone
- (662) 325-2165
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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