Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAKE W DUGGER, D.C.
Active Sole ProprietorDR. BLAKE W DUGGER, D.C. is a Sports Physician (Chiropractor) healthcare provider located in GRANITE CITY, Illinois. NPI 1417172842 is currently active in the NPPES registry. Verify at CMS.
Sports Physician (Chiropractor) · GRANITE CITY, IL
Registration Details
- NPI Number
- 1417172842
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 13, 2007 (19.155401567198 yrs)
- Last Updated
- Jun 30, 2016
- License
-
038-009154 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3412 NAMEOKI RDGRANITE CITY, IL, 620403702Browse IL providers · Browse ZIP 62040
- Phone
- 6188767800
- Fax
- 6188767800
- Primary Specialty
-
Sports Physician (Chiropractor)
111NS0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.