Individual
CHRIS TROBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2901 S SANTA FE AVE, MOORE, OK 73160-2843
(405) 735-4980
Mailing address
2901 S SANTA FE AVE, MOORE, OK 73160-2843
(405) 735-4980
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
455
OK
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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