Provider Demographics
NPI:1063738623
Name:DUGGER, KRISTOPHER RYAN (DC)
Entity type:Individual
Prefix:DR
First Name:KRISTOPHER
Middle Name:RYAN
Last Name:DUGGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20343 N HAYDEN RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-3876
Mailing Address - Country:US
Mailing Address - Phone:480-419-9777
Mailing Address - Fax:480-419-9888
Practice Address - Street 1:20343 N HAYDEN RD STE 100
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-3876
Practice Address - Country:US
Practice Address - Phone:480-419-9777
Practice Address - Fax:480-419-9888
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8096111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor