Individual
LEONARD D DEFLORIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1310 SIDNEY ST, BATESVILLE, AR 72501-7628
(870) 612-7200
Mailing address
1310 SIDNEY ST, BATESVILLE, AR 72501-7628
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
122
AR
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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