Individual
MR. STEVEN M MEDEIROS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
150 MORRISSEY BLVD, BC HIGH, DORCHESTER, MA 02125-3313
(617) 474-5061
Mailing address
29B BROAD ST, MEDWAY, MA 02053-1120
(508) 533-3724
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1075
MA
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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