Individual
ANTHONY MORFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
520 VALLEY VIEW DR, MOLINE, IL 61265-6152
(309) 762-3621
Mailing address
1625 24TH ST, MOLINE, IL 61265-4147
(630) 470-8299
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002521
IL
Other
Enumeration date
12/06/2007
Last updated
11/17/2011
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