Individual
DAVID J. CHARLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATHLETIC TRAINER
Contact information
Practice address
1020 EASTSIDE HIGHWAY, CORVALLIS, MT 59828
(406) 961-4305
Mailing address
909 KERI WAY, CORVALLIS, MT 59828-9382
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MT
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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