Provider Demographics
NPI:1508639352
Name:DOUGAN-MOLPUS, ALLISON (ND)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:DOUGAN-MOLPUS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 ZONE RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:YELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72687-7031
Mailing Address - Country:US
Mailing Address - Phone:501-253-2435
Mailing Address - Fax:
Practice Address - Street 1:520 ZONE RIDGE LN
Practice Address - Street 2:
Practice Address - City:YELLVILLE
Practice Address - State:AR
Practice Address - Zip Code:72687-7040
Practice Address - Country:US
Practice Address - Phone:501-253-2435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath