Individual
WARREN DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2265 RIDGEMONT DR, BIRMINGHAM, AL 35244-1205
(256) 506-4840
Mailing address
2265 RIDGEMONT DR, BIRMINGHAM, AL 35244-1205
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1472
AL
2255A2300X
Athletic Trainer
2000009545
AL
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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