DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOUGLAS A NUCKOLS, MD

Active

Otolaryngology · FORT WAYNE, IN

Registration Details

NPI Number
1982696837
Provider Type
Individual
Gender
Male
NPI Issued
Aug 17, 2005 (20.680674426665 yrs)
Last Updated
Nov 20, 2009
Licenses
01052220A (IN)
35-07-8501 (OH)

Practice Information

Address
10021 DUPONT CIRCLE CT
FORT WAYNE, IN, 468251604
Browse IN providers · Browse ZIP 46825
Phone
2604268117
Fax
2604200817
Primary Specialty
Otolaryngology
207Y00000X
Additional Specialty
Otolaryngology

Other Otolaryngology Providers in FORT WAYNE, IN

Name Credential NPI
WILLIAM R CAST M.D. 1811999840
JOHN E WESTFALL M.D. 1366444390
JOHN H FALLON M.D. 1326040395
STEPHEN J. SCHRECK M.D. 1053313023
BRIAN D HERR M.D. 1700888575
MOHAN K RAO MD 1326030271
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.