Individual
DR. ALAN MARK NASYPANY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
875 PERIMETER DR DEPT OF, MOSCOW, ID 83844-9803
(208) 885-2185
Mailing address
1215 TAMARACK DR, MOSCOW, ID 83843-9438
(208) 885-2185
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT307
ID
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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