Organization
ALFRED UNIVERSITY
Active
Other names
Alfred University Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA HURLBUT (HEAD ATHLETICS TRAINER)
(607) 871-2916
Entity
Organization
Contact information
Practice address
1 SAXON DR, MCLANE GYMNASIUM, ALFRED, NY 14802-1205
(607) 871-2891
(607) 871-2712
Mailing address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
(800) 555-9073
(972) 367-3452
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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