Individual
WILLIAM STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602-5438
(315) 772-2778
Mailing address
1844 SOMERFORD DR, GALENA, OH 43021-8132
(614) 949-2647
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OH
Other
Enumeration date
11/08/2018
Last updated
09/23/2022
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