MR. Richard P Vicenzi, ATHLETIC TRAINER

NPI #1841447026 in Herrin, Illinois

Provider Information

NPI Number
1841447026
Entity Type
Individual
Name
MR. Richard P Vicenzi, ATHLETIC TRAINER
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist
Credential
ATHLETIC TRAINER
Enumeration Date
Aug 19, 2008
Last Updated
Aug 19, 2008

Practice Location

Address
510 LINCOLN DRIVE
City
Herrin
ZIP Code
62948
Phone
(618) 997-6800

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist

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