Individual
MR. MATTHEW MUNJOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2122 N 27TH ST, DECATUR, IL 62526-2191
(217) 876-4975
Mailing address
3661 N UNION ST, DECATUR, IL 62526-1947
(217) 876-8582
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
02/23/2006
Last updated
07/08/2007
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