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Individual

DR. DAVID WILLIAM DOCKRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
613 23RD ST STE 520, ASHLAND, KY 41101-2878
(606) 326-1675
(606) 326-1436
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD453795
PA
208600000X
Surgery Physician
MT199190
PA
2086S0129X
Vascular Surgery Physician
128605
OH
2086S0129X
Vascular Surgery Physician
Primary
51366
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0309546
OH
05
7100555400
KY
Enumeration date
06/21/2011
Last updated
01/19/2024
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