Evan Earl Dussia II MD

NPI 1093735433 - Obstetrics & Gynecology - 207VG0400X

NPI Details
NPI 1093735433
Gender Male
Enumeration Date 07/20/2006
Last Updated 02/25/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
1030 E LAFAYETTE ST
SUITE 4
TALLAHASSEE FL, 32301-4579, US
Phone (850) 583-2926
Fax
Business Location
1020 E LAFAYETTE ST
SUITE 101
TALLAHASSEE FL, 32301-4569, US
Phone (850) 583-2696
Fax (850) 792-6043
Toxanomy
Taxonomy Code 207VG0400X
License State Florida
License Number ME28955
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According to our database, Evan Earl Dussia II MD NPI is 1093735433, taxonomy code is 207VG0400X and license number is ME28955, license state is located at Florida. Evan Earl Dussia II MD physically located at 1030 E Lafayette St, Tallahassee FL, 32301-4579. NPI Number Evan Earl Dussia II MD has the Individual type.

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1093735433 NPI number is provided on an as is basis without warranty of any kind. 1093735433 is maintained by the National Plan & Provider Enumeration System. The contents of Evan Earl Dussia II MD are for informational purposes only.