Individual
MR. MATTHEW HAVRANEK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1306 S LOOMIS, MESA, AZ 85209-3742
(914) 475-6153
Mailing address
1306 S LOOMIS, MESA, AZ 85209-3742
(914) 475-6153
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0595
AZ
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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