Individual
MR. MICHAEL DOUGLAS AUTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 271-5000
Mailing address
7927 SW 13TH RD, GAINESVILLE, FL 32607-3320
(352) 328-9830
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
CRT82679
FL
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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