Individual
MR. RICHARD DARRELL DUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2040 MIDLAND AVE, LOUISVILLE, KY 40204-2221
(502) 592-9133
Mailing address
2040 MIDLAND AVE, LOUISVILLE, KY 40204-2221
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
9769024
KY
225100000X
Physical Therapist
Primary
002428
KY
Other
Enumeration date
10/01/2008
Last updated
01/31/2014
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