Individual
ERIC DWIGHT GILLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 E CLAFLIN AVE, SALINA, KS 67401-6167
(785) 827-5541
Mailing address
814 VASSAR DR, SALINA, KS 67401-4623
(785) 643-4262
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00462
KS
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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