Individual
BRIAN GOYNE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
361 CRANE RD, SHAVERTOWN, PA 18708-9667
(570) 406-2582
Mailing address
361 CRANE RD, SHAVERTOWN, PA 18708-9667
(570) 406-2582
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2016
Last updated
04/28/2016
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