Individual
SAMUEL DAVID BETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 N FAIRVIEW ST, LOCK HAVEN, PA 17745-2390
(570) 484-2027
Mailing address
181 N OVERLOOK DR, DANVILLE, PA 17821-9635
(570) 245-8544
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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