Individual
MATTHEW REX STUTZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2200 NE NEFF RD, STE 200, BEND, OR 97701-4283
(541) 382-3344
(541) 382-1681
Mailing address
2080 NE CHANEL CT, APT 4, BEND, OR 97701-5371
(540) 408-7269
(540) 382-1681
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-1005249
OR
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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