Individual
MR. ROBERT PERRY AZELTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
700 E CLEVELAND AVE, MONETT, MO 65708-1436
(417) 236-2480
(417) 236-2481
Mailing address
700 E CLEVELAND AVE, MONETT, MO 65708-1436
(417) 236-2480
(417) 236-2481
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
201002172
MO
Other
Enumeration date
08/13/2007
Last updated
12/19/2014
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