Individual
DUSTIN HARTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
STADIUM BOULEVARD, SPORTS MEDICINE FOOTBALL STADIUM AT ARKANSAS STATE UNIV, JONESBORO, AR 72467-0480
(870) 972-3342
Mailing address
4311 STONEBROOK DR, JONESBORO, AR 72404-9393
(308) 340-1463
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 376
AR
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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