NPI 1497848063

Douglass Vance

Practitioner Military Health Care Provider Scottsboro, AL

Practice location

Address: 264 Belle Dr, Scottsboro, AL 35769-3652
Phone: (256) 574-4802

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X Licence NONE (AL)

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Registry record

NPI: 1497848063
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.