Individual
BART THOMAS STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
128 MEDICAL CIR, WINCHESTER, VA 22601-3322
(540) 667-8975
Mailing address
231 LOCKSA RD, ROMNEY, WV 26757-6293
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000987
VA
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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