Individual
MR. STEPHEN BALDWIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., ATC, CSCS
Contact information
Practice address
100 E UNIVERSITY MSC 9202, MAGNOLIA, AR 71753
(870) 235-5229
Mailing address
100 E UNIVERSITY MSC 9202, MAGNOLIA, AR 71753
(870) 235-5229
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000017702
WV
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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