Individual
IAN THORSON DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
32 CAMPUS DR, MISSOULA, MT 59812-0003
(406) 243-2522
Mailing address
555 S CATLIN ST APT 108, MISSOULA, MT 59801-1648
(425) 256-0877
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/09/2017
Last updated
07/09/2017
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