Individual
MR. JOEL J. DERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
2800 W GORE BLVD, LAWTON, OK 73505-6320
(580) 581-2400
Mailing address
6681 NW SHROYER RD, LAWTON, OK 73507-5961
(580) 512-7712
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-38
OK
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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