Provider Demographics
NPI:1508830381
Name:DRAGUN, ANDREW FRANCIS (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:FRANCIS
Last Name:DRAGUN
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 1:8949 ROEBUCK BLVD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35206-1525
Mailing Address - Country:US
Mailing Address - Phone:205-413-2997
Mailing Address - Fax:
Practice Address - Street 1:8949 ROEBUCK BLVD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35206-1525
Practice Address - Country:US
Practice Address - Phone:205-413-2997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-16
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2142111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL102I350492OtherMEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)