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Individual

MR. ZACHARY DAVID HOWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
1095 BELT LINE RD STE 400, COLLINSVILLE, IL 62234-4489
(618) 477-8550
(618) 477-8551
Mailing address
704 LASALLE ST, COLLINSVILLE, IL 62234-2501
(618) 973-8090

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096004486
IL
2255A2300X
Athletic Trainer
2017025263
MO

Other

Enumeration date
08/23/2017
Last updated
08/28/2017
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