Individual
JOHN RUSSELL STRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 COMANCHE VILLAGE DR, FOUNTAIN, CO 80817-1651
(719) 749-8251
Mailing address
200 COMANCHE VILLAGE DR, FOUNTAIN, CO 80817-1651
(719) 749-8251
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0002098
CO
Other
Enumeration date
11/07/2018
Last updated
05/09/2022
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