Individual
BRIAN HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
419 PEARL CREEK DR, WENTZVILLE, MO 63385-5587
(606) 776-3643
Mailing address
419 PEARL CREEK DR, WENTZVILLE, MO 63385-5587
(606) 776-3643
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2011019227
MO
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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