Doctor Name: | DR. SEAN PATRICK DUGAN |
NPI Number: | 1871721100 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 5706 |
Business Practice Address: | 1035 Placer St Redding, CA - 960014545 |
Business Phone Number: | 5302485702 |
Business Fax Number: | 5302459830 |
Mailing Address: | Po Box 992790, REDDING |
State: | CA |
Postal Code: | 960014245 |
Phone Number: | 5302465702 |
Fax Number: | 5302459830 |
NPI Enumeration Date: | 06/25/2009 |
NPI Last Update Date: | 08/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 5706 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |