Individual
ALEXANDER CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1205 PETERS DR, WATERLOO, IA 50703-9691
(515) 509-3583
Mailing address
1731 10TH AVE SW APT 2, WAVERLY, IA 50677-3775
(515) 509-3583
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
113873
IA
Other
Enumeration date
02/04/2020
Last updated
06/20/2024
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