Zachary James Dougal ATC

NPI 1548537814 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1548537814
Gender Male
Enumeration Date 11/30/2011
Last Updated 11/30/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
604 E COLLEGE AVE
NORTH MANCHESTER IN, 46962-1276, US
Phone (260) 982-5124
Fax (260) 982-5405
Business Location
604 E COLLEGE AVE
NORTH MANCHESTER IN, 46962-1276, US
Phone (260) 982-5124
Fax (260) 982-5405
Toxanomy
Taxonomy Code 2255A2300X
License State Indiana
License Number 36001419A
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According to our database, Mr. Zachary James Dougal ATC NPI is 1548537814, taxonomy code is 2255A2300X and license number is 36001419A, license state is located at Indiana. Zachary James Dougal ATC physically located at 604 E College Ave, North Manchester IN, 46962-1276. NPI Number Zachary James Dougal ATC has the Individual type.

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1548537814 NPI number is provided on an as is basis without warranty of any kind. 1548537814 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary James Dougal ATC are for informational purposes only.