Individual
MR. MICHAEL ANTHONY MAVROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
1300 W PARK ST, BUTTE, MT 59701-8932
(406) 496-4296
(406) 496-4711
Mailing address
PO BOX 3352, BUTTE, MT 59702-3352
(406) 782-8172
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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