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Individual

DALE F DUGUID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3401 W GORE BLVD, LAWTON, OK 73505
(580) 510-7037
(580) 510-7038
Mailing address
PO BOX 785, LAWTON, OK 73502
(580) 357-9984
(580) 357-3277

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18134
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080108824
RAILROAD MEDICARE
05
100040240A
OK
01
5364316
AETNA
OK
Enumeration date
09/20/2005
Last updated
08/04/2008
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