Individual
MR. BRIAN CHRISTOPHER KOMPROOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11130 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1735
(260) 438-8723
Mailing address
9808 WHITE HILL COURT, FORT WAYNE, IN 46804
(260) 438-8723
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001076A
IN
Other
Enumeration date
03/07/2007
Last updated
03/08/2016
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