Individual
MR. MARCO CAZZAVILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4715 WHITESBURG DR SE, HUNTSVILLE, AL 35802-1632
(256) 881-5151
Mailing address
4715 WHITESBURG DR SE, HUNTSVILLE, AL 35802-1632
(256) 881-5151
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
442
AL
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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