Individual
SIMON GOMEZ OSPINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3450 MONONGAHELA BLVD, MORGANTOWN, WV 26505-3043
(304) 293-9866
Mailing address
3450 MONONGAHELA BLVD, MORGANTOWN, WV 26505-3043
(304) 293-9866
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001476
WV
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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