Individual
JUSTIN BROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1800 ADMIRAL SHEEHY DR, DUBUQUE, IA 52001-2379
(563) 583-4949
Mailing address
3410 ROUTE 5 W, HAZEL GREEN, WI 53811-9700
(207) 318-6229
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
110868
IA
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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