Lookup NPI Numbers from the NPI Registry
NPI Profile for GARY D MCDOUGAL II in WARREN, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Other Service Providers |
175T00000X |
| NPI # | 1942895388 |
|
| Status | Active | |
| Credentials | CADC, PRPS | |
| Entity | Individual | |
| Enumeration date | 03/08/2021 | |
| Last updated | 03/08/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GARY D MCDOUGAL II
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GARY D MCDOUGAL II, CADC, PRPS