Individual
PHILLIP B. DOUDNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., D.C.
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
111N00000X
Chiropractor
Primary
1397
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0877538
—
OH
01
—
31-1278375-00
BWC
OH
Enumeration date
07/12/2006
Last updated
07/09/2007
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