Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 35 032121 | OH |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 35 032121 | OH |
NPI | 1023068244 |
---|---|
Provider Name | Alfredo Arugay Paguirigan |
First Address | Celina, OH 45822 |
Second Address | St Marys, OH 45885-2423 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0134161 | (05) | OH |
A71452 | (02) | OH |