Individual
MATTHEW STONEBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
258 EAST BROAD STREET, TRUMBAUERSVILLE, PA 18970
(267) 772-1566
Mailing address
258 EAST BROAD STREET, TRUMBAUERSVILLE, PA 18970
(267) 772-1566
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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