Individual
MR. DUSTIN EARL GIRARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
970 PEARL ST STE A, EUGENE, OR 97401-2742
(541) 687-9050
Mailing address
970 PEARL ST STE A, EUGENE, OR 97401-2742
(541) 687-9050
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10130502
OR
Other
Enumeration date
04/20/2006
Last updated
08/06/2019
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