Organization
PHILLIP B. DOUDNA, D.C., LLC
Active
Organization
PHILLIP B. DOUDNA, D.C., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP B. DOUDNA D.C., LLC (CHIEF OPERATING OFFICER)
(614) 875-1121
Entity
Organization
Contact information
Practice address
4305 BROADWAY, GROVE CITY, OH 43123-3017
(614) 875-1121
(614) 875-1111
Mailing address
4305 BROADWAY, GROVE CITY, OH 43123-3017
(614) 875-1121
(614) 875-1111
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1397
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0877538
—
OH
Enumeration date
01/15/2008
Last updated
09/09/2008
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