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Individual

DAVID TOMCHUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
1 UNIVERSITY PLZ, CAPE GIRARDEAU, MO 63701-4710
(573) 986-6841
(573) 651-5150
Mailing address
1 UNIVERSITY PLZ, CAPE GIRARDEAU, MO 63701-4710
(573) 986-6841
(573) 651-5150

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2005031152
MO
2255A2300X
Athletic Trainer
AT.0001191
CO

Other

Enumeration date
06/16/2006
Last updated
08/03/2022
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