| American Outdoor Brand | |
|
262 Cottage St Springfield MA 01104-3274 | |
| (623) 277-1190 | |
| Not Available |
| Full Name | American Outdoor Brand |
|---|---|
| Speciality | Clinic/center |
| Location | 262 Cottage St, Springfield, Massachusetts |
| Authorized Official Name and Position | Deborah Sue Coolidge (FINANCIAL ANALYSIS SENIOR MANAGER) |
| Authorized Official Contact | 6232771170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| American Outdoor Brand 262 Cottage St Springfield MA 01104-3274 | American Outdoor Brand 262 Cottage St Springfield MA 01104-3274 Ph: (623) 277-1190 |
| NPI Number | 1851943732 |
|---|---|
| Provider Enumeration Date | 07/11/2019 |
| Last Update Date | 05/03/2021 |
| Certification Date | 05/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851943732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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