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Individual

DR. CLINTON PAUL SCRUGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
101 S LIBERTY ST, RUSSIAVILLE, IN 46979-9125
(765) 776-3880
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02005490A
IN

Other

Enumeration date
02/28/2009
Last updated
11/27/2023
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