Individual
JONATHAN PLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.
Contact information
Practice address
2404 S LOCUST ST STE 5, LAS CRUCES, NM 88001-5789
(575) 522-0766
Mailing address
2404 S. LOCUST STE. 5, SOUTHWEST SPORT AND SPINE CENTER, INC, LAS CRUCES, NM 88001-9998
(575) 522-0766
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
486
NM
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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