Individual
RANDALL EUGENE STOBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
1940 HARVE AVE, SUITE 2, MISSOULA, MT 59801-8332
(406) 542-0808
Mailing address
1940 HARVE AVE, SUITE 2, MISSOULA, MT 59801-8332
(406) 542-0808
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
58
MT
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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