Individual
GARY ROBERT SIMONEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
UWA STATION 14, LIVINGSTON, AL 35470
(972) 948-9680
Mailing address
UWA STATION 14, LIVINGSTON, AL 35470
(972) 948-9680
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1343
AL
2255A2300X
Athletic Trainer
AT 462
AR
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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