Individual
RICHARD STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3401 PANTHER PRIDE DR, DUMFRIES, VA 22026-2184
(571) 238-0944
Mailing address
PO BOX 686, DUMFRIES, VA 22026-0686
(571) 264-5214
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
VA
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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