Organization
YOUNGSTOWN STATE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DONEYKO (HEAD ATHLETIC TRAINER)
(330) 941-3190
Entity
Organization
Contact information
Practice address
1 UNIVERSITY PLZ, YOUNGSTOWN, OH 44555-0001
(330) 941-1978
Mailing address
PO BOX 819020, DALLAS, TX 75381-9020
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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