Individual
MR. DOUGLAS L. HADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1320 S ST, BRIDGEPORT, NE 69336-2563
(308) 262-1755
(308) 262-0765
Mailing address
PO BOX 520, BRIDGEPORT, NE 69336-0520
(308) 262-1755
(308) 262-0765
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
681
NE
Other
Enumeration date
06/05/2006
Last updated
04/15/2011
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