Organization
DHP OF MO - HANNIBAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL L DABBS MD (PRESIDENT)
(865) 693-1000
Entity
Organization
Contact information
Practice address
6000 HOSPITAL DR, HANNIBAL, MO 63401-6887
(954) 835-2853
Mailing address
5870 HIATUS RD, STE 200, TAMARAC, FL 33321-6424
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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