Individual
MR. STEPHEN SPENCER DEFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, AT
Contact information
Practice address
112 LUTHERAN DR, EATON, OH 45320-1618
(937) 689-1025
Mailing address
112 LUTHERAN DR, EATON, OH 45320-1618
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.003649
OH
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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