Dodge City Medical Clinic, Inc.
NPI #1407976624 in Hanceville, Alabama
Provider Information
- NPI Number
- 1407976624
- Entity Type
- Organization
- Organization Name
- Dodge City Medical Clinic, Inc.
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Mar 30, 2007
- Last Updated
- Dec 15, 2008
Practice Location
- Address
- 561 AL HIGHWAY 69 S
- Address 2
- SUITE B
- City
- Hanceville
- State
- Alabama
- ZIP Code
- 35077-3403
- Phone
- (256) 287-2345
Authorized Official
- Name
- RICHARD ANTHONY BUCCO JR., MD, PHD
- Title
- PRESIDENT
- Phone
- (256) 287-2345
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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