MR. Matthew Jason Doles, ATC, LAT

NPI #1942552773 in Bryan, Texas

Provider Information

NPI Number
1942552773
Entity Type
Individual
Name
MR. Matthew Jason Doles, ATC, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Oct 3, 2012
Last Updated
Oct 3, 2012

Practice Location

Address
2317 KENT ST
City
Bryan
State
Texas
ZIP Code
77802-1936
Phone
(979) 575-1506

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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