Individual
MR. JOSHUA VAUGHN BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
LSU ATHLETIC DEPARTMENT, ATHLETIC TRAINING, NORTH STADIUM DRIVE, BATON ROUGE, LA 70803
(225) 578-2050
Mailing address
900 STANFORD AVE, BATON ROUGE, LA 70808-3685
(865) 209-9246
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.310302
LA
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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