NPI 1316566102

Drazan Vukovic, ATC

Practitioner Athletic Trainer Reston, VA

Practice location

Address: 1860 Town Center Dr STE 300, Reston, VA 20190-5900
Phone: (571) 354-1260

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0126002879 (VA)

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Registry record

NPI: 1316566102
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2020
Record last updated: 5 Mar 2022

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.