Individual
MR. MICHAEL BRYANT DUFFEY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED.,LATC.,CSA
Contact information
Practice address
2004 SPROUL RD, BROOMALL, PA 19008-3511
(610) 359-1037
Mailing address
2 HUNTSMAN DR, MARCUS HOOK, PA 19061-1212
(610) 358-2268
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT000108A
PA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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