Individual
MR. DAVID RANDALL BOKULICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5459 E PLEASANT VALLEY BLVD, TYRONE, PA 16686-8551
(814) 682-7267
Mailing address
5459 E PLEASANT VALLEY BLVD, TYRONE, PA 16686-8551
(814) 682-7267
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/14/2006
Last updated
01/15/2021
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