Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | A99373 | CA |
Y | 207SG0201X | Clinical Genetics (M.D.) | MD60833470 | WA |
N | 208000000X | Pediatrician | A99373 | CA |
NPI | 1629267067 |
---|---|
Provider Name | Dr. Sarah L. Dugan |
First Address | Liberty Lake, WA 99019-0421 |
Second Address | Spokane, WA 99204-2318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2007 |
Last Update Date | 01/05/2018 |