Bruce Johnston
Bruce Johnston is an Athletic Trainer in San Diego, California. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2021
Practice location Address checks out
2000 Trident WaySan Diego, CA 92155-5599
Phone: (513) 641-6644
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence ATR-001165 (AZ) |
|---|
Record details
| NPI number | 1003575747 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 9, 2021 |
| Last updated in NPPES | December 9, 2021 |
| Certification date | December 9, 2021 |
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