Individual
HIRONORI NAGAOKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 S NATIONAL AVE. PROF 160, SPRINGFIELD, MO 65897
(417) 836-8924
Mailing address
701 E ELM ST. APPT:DB404-B, SPRINGFIELD, MO 65806
(417) 315-7958
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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