CHARLES MARSHALL STODDARD

SANDY, UT
NPI1275924722
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT  9265541-4810)
Enumeration Date2015-02-05
Last Update Date2015-02-05
Business Address
-- CHARLES MARSHALL STODDARD ATC, LAT
9256 S STATE ST
SANDY, UT 84070-2604
Phone number: 801-675-9813
Mailing Address
-- CHARLES MARSHALL STODDARD ATC, LAT
9256 S STATE ST
SANDY, UT 84070-2604
Phone number: