Individual
DR. MICHAEL BRIAN HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, ATC
Contact information
Practice address
901 S NATIONAL AVE, SPRINGFIELD, MO 65804-0027
(417) 836-8553
(417) 836-8554
Mailing address
PROFESSIONAL BLDG 160, 901 SOUTH NATIONAL AVE., SPRINGFIELD, MO 65897-0027
(417) 836-8553
(417) 836-8554
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2006009453
MO
Other
Enumeration date
06/10/2006
Last updated
11/11/2011
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