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Individual

DR. DOUGLAS R DEBENHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3699 EPWORTH RD, NEWBURGH, IN 47630-8909
(812) 471-1200
Mailing address
11017 CHERWELL CT, LAS VEGAS, NV 89144-4526
(907) 280-8724

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01079213A
IN
2085R0001X
Radiation Oncology Physician
11876
MT
2085R0001X
Radiation Oncology Physician
11906
NV
2085R0001X
Radiation Oncology Physician
S5969
AK

Other

Enumeration date
05/03/2006
Last updated
02/28/2024
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