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Individual

MR. ANTHONY KISER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
4301 BROADWAY ST, SAN ANTONIO, TX 78209-6318
(210) 829-6000
Mailing address
1111 AUSTIN HWY, SAN ANTONIO, TX 78209-4861

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7582

Other

Enumeration date
11/04/2019
Last updated
11/04/2019
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