BRYAN CLARK

MORGANTOWN, WV
NPI1942971312
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV  AT001719)
Enumeration Date2021-09-24
Last Update Date2021-09-24
Business Address
BRYAN CLARK LAT, ATC
109 WILSON AVE
MORGANTOWN, WV 26501-7521
Phone number: 304-291-9260
Mailing Address
BRYAN CLARK LAT, ATC
8010 KAUSTIN DR
MORGANTOWN, WV 26501-7210
Phone number: 719-760-9747