Individual
MR. GREGORY LEE MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
2804 KINGS CT, TERRE HAUTE, IN 47802-3356
(812) 243-2685
Mailing address
2804 KINGS CT, TERRE HAUTE, IN 47802-3356
(812) 243-2685
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000882A
IN
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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