Brian Mcgivern LAT

NPI 1073585519 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1073585519
Gender Male
Enumeration Date 02/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
48 MOORE AVE
ATHENS OH, 45701, US
Phone (203) 246-7604
Fax
Business Location
48 MOORE AVE
ATHENS OH, 45701-2749, US
Phone
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Ohio
License Number 002566
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According to our database, Brian Mcgivern LAT NPI is 1073585519, taxonomy code is 2255A2300X and license number is 002566, license state is located at Ohio. Brian Mcgivern LAT physically located at 48 Moore Ave, Athens OH, 45701. NPI Number Brian Mcgivern LAT has the Individual type.

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1073585519 NPI number is provided on an as is basis without warranty of any kind. 1073585519 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Mcgivern LAT are for informational purposes only.