Individual
CLINT CARROZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, MED
Contact information
Practice address
3525 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 269-5530
Mailing address
3126 E VALLEY WATER MILL RD APT 3012, SPRINGFIELD, MO 65803-4923
(573) 406-8416
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2009009259
MO
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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