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Sam Brosseau
NPI 1427540731 · on the registry since 2018 · sole proprietor
Practice
- Address
- 875 Perimeter Dr # Ms 2401
Moscow, ID 83844 - Phone
- (206) 335-6098
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho