Individual provider · NPI-1

Yong Woo An, ATC

Specialist/Technologist, Athletic Trainer · Las Cruces, NM

NPI number1154849412
StatusActive
Last updated in NPPESSep 11, 2017

Details

NPI
1154849412
Entity type
Individual (NPI-1)
Name
Prof. Yong Woo An
Credential
ATC
Sex
Male
Sole proprietor
No
Enumeration date
Sep 6, 2017
Last updated
Sep 11, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer–NMYes

Practice location

1652 Stewart St
Las Cruces, NM 88003

Phone 575-646-1636

Mailing address

Msc 3fac P. O. Box 30001
Room219
Las Cruces, NM 88003-8001

Phone 575-646-1636 · Fax 575-646-3564

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