Individual
MR. JOHN PHILLIP VARDIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1301 SUNNYSIDE AVE, 161- D ROBINSON GYMNASIUM, LAWRENCE, KS 66045-7567
(785) 864-0709
Mailing address
1301 SUNNYSIDE AVE, 161- D ROBINSON GYMNASIUM, LAWRENCE, KS 66045-7567
(785) 864-0709
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00483
KS
Other
Enumeration date
07/16/2006
Last updated
07/08/2007
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