Bryce Roark, LAT, ATC

NPI 1588924138 · on the registry since 2012

Practice

Address: 3301 Berrywood Dr
Suite 204
Columbia, MO 65201
Phone: (573) 449-8771
Fax: (573) 449-6563
Organisation at this address: Bdm Associates Llc
Bdm Associates Llc
Bdm Associates Llc
Michael L Burks, M.D., P.C.
Neighborhood Ltc Pharmacy Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 42

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-03-18

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 Missouri