Individual
CARRIE EDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1410 UNIVERSITY AVE, WILLISTON, ND 58801-4464
(701) 774-4287
Mailing address
1410 UNIVERSITY AVE, ATHLETIC DEPARTMENT, WILLISTON, ND 58801-4464
(701) 580-2827
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
483-12
ND
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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