Individual
PROF. GARY E MCILVAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 JOHN MARSHALL DRIVE GULLICKSON HALL 1, HUNTINGTON, WV 25755-0001
(304) 696-2930
(304) 696-2928
Mailing address
1 JOHN MARSHALL DRIVE GULLICKSON HALL 112, HUNTINGTON, WV 25755-0001
(304) 696-2930
(304) 696-2928
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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