Individual
STEPHEN GEAREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
105 SIMRALL BLVD, BOTTINEAU, ND 58318-1159
(218) 820-6574
Mailing address
105 SIMRALL BLVD, BOTTINEAU, ND 58318-1159
(218) 820-6574
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
472-12
ND
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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