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Individual

DR. ROBERT RUSSELL DUGAN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9912 DIMITRIOS BLVD, SUITE 102, DAPHNE, AL 36526-9564
(251) 625-2215
Mailing address
9912 DIMITRIOS BLVD, SUITE 102, DAPHNE, AL 36526-9564
(251) 625-2215

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2236
AL
111N00000X
Chiropractor
2963
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2272348
OH
Enumeration date
09/15/2006
Last updated
11/18/2009
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