Individual
MR. ERIC MICHAEL SHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
ALDERSON-BROADDUS COLLEGE, BOX 2062, PHILIPPI, WV 26416
(304) 457-6276
Mailing address
31 EAGLE LN, MOUNT CLARE, WV 26408-9709
(304) 624-3849
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WV
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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