JOHNNIE DENSMORE III
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1790135440
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | 2015026800 (MO) |
Frequently Asked Questions
NPI 1790135440 is the National Provider Identifier for JOHNNIE DENSMORE III, a Specialist/Technologist - Athletic Trainer provider located in Springfield, MO. This NPI was enumerated on June 14, 2016.
JOHNNIE DENSMORE III practices at 4331 S FREMONT AVE, Springfield, MO 65804.
Quick Facts
- NPI
- 1790135440
- Type
- Individual
- Enumerated
- Jun 14, 2016
- Last Updated
- Jun 14, 2016
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