Individual
MR. ANDREW DORAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 TRITON CIR, FORT DODGE, IA 50501-5729
(515) 351-7408
Mailing address
2893 ECHO AVE, CALLENDER, IA 50523-7527
(151) 535-1740
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
114361
IA
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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