Individual
WILLIAM M INGEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2511 W REPUBLIC RD, SPRINGFIELD, MO 65807-4007
(417) 891-1616
(417) 891-1615
Mailing address
2154 S OAK GROVE AVE, SPRINGFIELD, MO 65804-2708
(417) 891-1623
(417) 891-1615
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
109855
MO
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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