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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