Individual
DAVID MOTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4411 ALBY ST, ALTON, IL 62002-5916
(618) 474-8052
Mailing address
4411 ALBY ST, ALTON, IL 62002-5916
(618) 474-8052
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096000670
IL
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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