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RONALD DOUGLAS, PA

PA

Physician Assistant

NPI: 1356312482IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

10000680A(IN)

CMS Specialties

Education

OTHER

Class of 1997

Contact & Hours

Address
5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN 46818

Quick Facts

NPI
1356312482
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
29

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