Individual
ALEXANDRA ELIZABETH BANKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3875 HIGHWAY Y, SEDALIA, MO 65301-0548
(660) 287-0507
Mailing address
3875 HIGHWAY Y, SEDALIA, MO 65301-0548
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
MO
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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