| Doctor Name: | MELINDA DAWN DUGAL |
| NPI Number: | 1003228909 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P. |
| License Number: | 1999137572 |
| Business Practice Address: | 1103 Weber Rd Ste 203 Farmington, MO - 636403302 |
| Business Phone Number: | 5737569107 |
| Business Fax Number: | 5737569630 |
| Mailing Address: | 1103 Weber Rd Ste 203, FARMINGTON |
| State: | MO |
| Postal Code: | 636403302 |
| Phone Number: | 5737569107 |
| Fax Number: | 5737569630 |
| NPI Enumeration Date: | 05/27/2014 |
| NPI Last Update Date: | 05/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1999137572 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |