Individual
BRIAN MATTHEW DUCLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, PES
Contact information
Practice address
204 W WASHINGTON ST, LEXINGTON, VA 24450-2554
(540) 458-4836
(540) 458-8173
Mailing address
204 W WASHINGTON ST, LEXINGTON, VA 24450-2554
(540) 458-4836
(540) 458-8173
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002682
VA
2255A2300X
Athletic Trainer
0597
NH
2255A2300X
Athletic Trainer
104.0087653
VT
Other
Enumeration date
04/03/2013
Last updated
03/29/2022
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