Individual
MR. DREW ANTHONY BABCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
32 CAMPUS DR, MISSOULA, MT 59812-0003
(406) 243-6362
Mailing address
7071 UNCLE ROBERT LN APT 3, MISSOULA, MT 59803-3523
(406) 243-6362
(406) 243-5981
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
46
MT
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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