Individual
PROF. TODD ALLEN JOHN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
1600 UNIVERSITY AVE, BOLIVAR, MO 65613-2578
(417) 328-1988
(417) 328-1487
Mailing address
1600 UNIVERSITY AVE, BOLIVAR, MO 65613-2578
(417) 328-1988
(417) 328-1487
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2001020303
MO
Other
Enumeration date
08/22/2005
Last updated
07/08/2007
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