Jac Randall Doran

NPI #1821323957 in Ozark, Missouri

Provider Information

NPI Number: 1821323957
Entity Type: Individual
Name: Jac Randall Doran
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Oct 7, 2009
Last Updated: Oct 7, 2009

Practice Location

Address: 1948 E CHESAPEAKE DR
City: Ozark
State: Missouri
ZIP Code: 65721-7815
Phone: (417) 551-3210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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