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Individual

CLAYTON DUGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 EAGLE RIDGE DR, BIRMINGHAM, AL 35242-5319
(205) 995-1004
Mailing address
5295 PRESERVE PKWY STE 100, HOOVER, AL 35244-4702
(205) 987-4457

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34503
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
198400
AL
Enumeration date
04/17/2014
Last updated
07/21/2022
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