Individual
MR. SCOTT WILLIAM WALLACE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
008 HPC, UNIVERSITY OF NORTHERN IOWA, CEDAR FALLS, IA 50614-0314
(715) 498-0184
Mailing address
008 HPC, UNIVERSITY OF NORTHERN IOWA, CEDAR FALLS, IA 50613-0314
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000664
IA
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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