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Individual

DR. DOUGLAS R HADLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8414 PRAIRIE ROSE PL, PIKESVILLE, MD 21208-6399
(410) 653-8805
Mailing address
8414 PRAIRIE ROSE PL, PIKESVILLE, MD 21208-6399
(410) 653-8805

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00056620
MD
207Q00000X
Family Medicine Physician
0202045772
VA
207Q00000X
Family Medicine Physician
156636-1205
UT

Other

Enumeration date
08/03/2012
Last updated
08/03/2012
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