Individual
ALEX STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8015 STEVER RD, DEFIANCE, OH 43512-9752
(419) 784-1694
Mailing address
8015 STEVER RD, DEFIANCE, OH 43512-9752
(419) 784-1694
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000155
OH
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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