Individual
DR. ROBERT DUANE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
160 S BELLWOOD DR STE B, EAST ALTON, IL 62024-2086
(618) 258-1300
Mailing address
160 S BELLWOOD DR STE B, EAST ALTON, IL 62024-2086
(618) 258-1300
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
021002025
IL
Other
Enumeration date
04/04/2007
Last updated
12/14/2022
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