Individual
DILLON BARTHOLOMEW DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT,ATC
Contact information
Practice address
3126 E VALLEY WATER MILL RD APT 2902, SPRINGFIELD, MO 65803-4923
(417) 217-2380
Mailing address
3126 E VALLEY WATER MILL RD APT 2902, SPRINGFIELD, MO 65803-4923
(417) 217-2380
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2020026907
MO
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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