Individual
BRYAN ERSPAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
248 W FREMONT ST, STOCKTON, CA 95203-2800
(906) 458-4091
Mailing address
248 W FREMONT ST, STOCKTON, CA 95203-2800
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000020094
BOARD OF CERTIFICATION ATC
—
Enumeration date
01/02/2020
Last updated
01/02/2020
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