Individual
MR. JASON AUGUST MUCHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
ATHLETIC TRAINING SERVICES MISSOURI STATE UNIVERSITY, 901 S NATIONAL AVE, SPRINGFIELD, MO 65897-0001
(417) 836-5461
(417) 836-6101
Mailing address
3131 W HARRISON ST, SPRINGFIELD, MO 65802-5209
(816) 289-2845
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2006017904
MO
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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