Individual
DAVID N. SUPRAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
2250 PATTERSON ST, APT. 256, EUGENE, OR 97405-2984
(541) 346-7318
Mailing address
2250 PATTERSON ST, APT. 256, EUGENE, OR 97405-2993
(541) 346-7318
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/29/2006
Last updated
07/08/2007
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