Individual
MR. JOSHUA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
614 PONDEROSA CIR, BATTLEMENT MESA, CO 81635-9534
(970) 778-7303
Mailing address
614 PONDEROSA CIR, BATTLEMENT MESA, CO 81635-9534
(970) 778-7303
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0001033
CO
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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