Individual
MATTHEW DEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
4614 E FILLMORE ST, PHOENIX, AZ 85008-6516
(708) 710-5492
Mailing address
4614 E FILLMORE ST, PHOENIX, AZ 85008-6516
(708) 710-5492
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-001472
AZ
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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