Individual
RON STEVEN KORDONOWY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
3849 W ACAPULCO LN, PHOENIX, AZ 85053-4517
(602) 318-7606
(623) 915-8560
Mailing address
3849 W ACAPULCO LN, PHOENIX, AZ 85053-4517
(602) 318-7606
(623) 915-8560
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0263
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0263
ARIZONA BOARD OF ATHLETIC TRAINING
AZ
Enumeration date
11/20/2014
Last updated
11/20/2014
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