Individual
MR. RYAN PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2727 MCCLELLAND BLVD, JOPLIN, MO 64804-1626
(417) 625-1040
Mailing address
11738 COUNTY ROAD 160, CARTHAGE, MO 64836-7299
(417) 358-5246
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
B-57967
MO
2255A2300X
Athletic Trainer
Primary
119483
MO
2255A2300X
Athletic Trainer
530
OK
Other
Enumeration date
01/25/2009
Last updated
01/25/2009
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