Individual
DILLON ROBERT GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1815 WELLS ST, LAS CRUCES, NM 88003-1304
(843) 323-8196
Mailing address
2775 N ROADRUNNER PKWY APT 2402, LAS CRUCES, NM 88011-8132
(843) 323-8196
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT815
NM
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/01/2017
Last updated
07/21/2022
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