NPI 1053971622
Elizabeth Bacon Studdard, MATATC
Practice location
- Address
- 1671 S Colonnade Dr APT 203, Fayetteville, AR 72701-7819
- Phone
- (205) 746-5362
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1053971622
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Jun 2019
- Record last updated
- 17 Jun 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.