Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0900X | Dermatopathologist | D0038251 | MD |
NPI | 1134193733 |
---|---|
Provider Name | Dr. Elizabeth Mitchell Dugan |
First Address | Washington, DC 20015-0696 |
Second Address | Silver Spring, MD 20902-5006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 11/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F61582 | (02) | |
P00773622 | RAILROAD MEDICARE (01) | DC |