Mr Clyde Glenn Gordon Doromal, RPT, PTRP in Farmington, MO

Mr Clyde Glenn Gordon Doromal, RPT, PTRP is a Physical Therapist based in Farmington, Missouri. Mr Clyde Glenn Gordon Doromal is licensed to practice in Missouri (license number 2006010374) and his current practice location is 400 Maple Valley Dr, Pang Apartment 17, Farmington, Missouri. He can be reached at his office (for appointments etc.) via phone at (870) 329-1625.

NPI number for Mr Clyde Glenn Gordon Doromal is 1457562357 and his current mailing address is 400 Maple Valley Dr, Pang Apartment 17, Farmington, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457562357.

Contact Information

	Mr Clyde Glenn Gordon Doromal, RPT, PTRP
	400 Maple Valley Dr, Pang Apartment 17, Farmington, MO 63640-1973
	(870) 329-1625
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Clyde Glenn Gordon Doromal
Gender	Male
Speciality	Physical Therapist
Location	400 Maple Valley Dr, Farmington, Missouri
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1457562357
Provider Enumeration Date: 05/24/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Clyde Glenn Gordon Doromal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457562357	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2006010374 (Missouri)	Primary
225100000X	Physical Therapist	(Illinois)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Clyde Glenn Gordon Doromal is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Clyde Glenn Gordon Doromal, RPT, PTRP 400 Maple Valley Dr, Pang Apartment 17, Farmington, MO 63640-1979 Ph: (870) 329-1625	Mr Clyde Glenn Gordon Doromal, RPT, PTRP 400 Maple Valley Dr, Pang Apartment 17, Farmington, MO 63640-1973 Ph: (870) 329-1625

Reviews and Comments

Physical Therapist in Farmington, MO

Cliff Michael Prather, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Maple Valley Dr, Farmington, MO 63640 Phone: 573-260-1678
Clinton Dale Rice, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 602 Maple Valley Dr, Farmington, MO 63640 Phone: 573-756-2999
Brandi Nicole Schwartz, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1355 Maple Street, Farmington, MO 63640 Phone: 573-756-9900 Fax: 573-756-9988
Crystal Rippee, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1355 Maple St, Farmington, MO 63640 Phone: 573-756-9900 Fax: 573-756-9988
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1355 Maple St, Farmington, MO 63640 Phone: 573-756-9900 Fax: 573-756-9988
Dena Lynne Rose, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 109 Vierse Dr, Farmington, MO 63640 Phone: 573-756-2937 Fax: 573-756-2939
Lauren R Coureton, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1155 Hazel Ln, Farmington, MO 63640 Phone: 573-756-2937 Fax: 573-756-2939

Mr Clyde Glenn Gordon Doromal, RPT, PTRP - Physical Therapist in Farmington, MO