Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GEROD UNDRON HUBBARD JR., LAC, ATC
Active Sole ProprietorGEROD UNDRON HUBBARD JR., LAC, ATC is a Athletic Trainer healthcare provider located in DURANT, Oklahoma. NPI 1609381961 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · DURANT, OK
Registration Details
- NPI Number
- 1609381961
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 8, 2017 (8.6489730043621 yrs)
- Last Updated
- Dec 8, 2017
- License
-
965 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
425 W UNIVERSITY BLVDDURANT, OK, 747013347Browse OK providers · Browse ZIP 74701
- Phone
- 5807453214
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in DURANT, OK
| Name | Credential | NPI |
|---|---|---|
| SCOTT WILLMAN | ATC | 1235333568 |
| MR. JAMES DUDLEY | A.T.C. LICENSED | 1962606293 |
| DANA M PAYNE | ATC | 1205366051 |
| KEENAN ERVIN | ATC | 1235644725 |
| KAYCIE NICOLE LANDIS | — | 1962058503 |
| AUSTIN LANE RHYNES | — | 1679165294 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.