Individual
MATTHEW DEAN LOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 UNIVERSITY AVE, BOLIVAR, MO 65613-2578
(417) 777-7763
Mailing address
1600 UNIVERSITY AVE, BOLIVAR, MO 65613-2578
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2015028942
MO
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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