Individual
MR. GORDON RIAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
76 LOU GROZA BLVD, BEREA, OH 44017-1238
(440) 891-5128
Mailing address
363 HEMLOCK DR, BEREA, OH 44017-1029
(216) 650-5480
(440) 824-5769
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.003337
OH
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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