JAMES BRIAN SOUTHARD

PHOENIX, AZ
NPI1275192338
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ  000355)
Enumeration Date2019-06-11
Last Update Date2019-06-11
Business Address
JAMES BRIAN SOUTHARD ATC
10712 W CAMELBACK RD
PHOENIX, AZ 85037-5072
Phone number: 520-249-8337
Mailing Address
JAMES BRIAN SOUTHARD ATC
10712 W CAMELBACK RD
PHOENIX, AZ 85037-5072
Phone number: 520-249-8337
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