Individual
DUSTIN J WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8227 NORTHWEST BLVD STE 160, INDIANAPOLIS, IN 46278-1386
(317) 415-5747
Mailing address
10330 N MERIDIAN ST, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
001346
NY
2255A2300X
Athletic Trainer
Primary
36002789A
IN
Other
Enumeration date
04/14/2006
Last updated
06/19/2017
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