Provider Demographics
NPI:1326268509
Name:DUGGER, RICHARD BARCLAY JR (ATC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:BARCLAY
Last Name:DUGGER
Suffix:JR
Gender:M
Credentials:ATC
Other - Prefix:MR
Other - First Name:R.
Other - Middle Name:BARCLAY
Other - Last Name:DUGGER
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:ATC
Mailing Address - Street 1:29 MAPLECREST DR
Mailing Address - Street 2:
Mailing Address - City:BELCHERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01007-9636
Mailing Address - Country:US
Mailing Address - Phone:413-748-3650
Mailing Address - Fax:413-748-3052
Practice Address - Street 1:263 ALDEN ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01109-3707
Practice Address - Country:US
Practice Address - Phone:413-748-3650
Practice Address - Fax:413-748-3052
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8262255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer