| Dodge City Medical Clinic, Inc. | |
|
561 Al Highway 69 S Suite B Hanceville AL 35077-3403 | |
| (256) 287-2345 | |
| Not Available |
| Full Name | Dodge City Medical Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 561 Al Highway 69 S, Hanceville, Alabama |
| Authorized Official Name and Position | Richard Anthony Bucco (PRESIDENT) |
| Authorized Official Contact | 2562872345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dodge City Medical Clinic, Inc. Po Box 1208 Cullman AL 35056-1208 Ph: (256) 287-2345 | Dodge City Medical Clinic, Inc. 561 Al Highway 69 S Suite B Hanceville AL 35077-3403 Ph: (256) 287-2345 |
| NPI Number | 1407976624 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 12/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407976624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD27216 (Alabama) | Primary |
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