Individual
MR. DOUGLAS E MAURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
208 8TH ST SW, ORANGE CITY, IA 51041-9022
(712) 707-7348
Mailing address
221 5TH ST NE, ORANGE CITY, IA 51041-1126
(316) 258-7336
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
097260
IA
2255A2300X
Athletic Trainer
24-000351
KS
Other
Enumeration date
12/24/2007
Last updated
08/27/2019
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