Individual
CHRISTOPHER DUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1799
(208) 785-2220
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 785-2220
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-720
ID
Other
Enumeration date
03/27/2018
Last updated
09/21/2022
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