Healthcare Provider Details

I. General information

NPI: 1487035721
Provider Name (Legal Business Name): KATHERINE DUGAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2015
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2535 S DOWNING ST STE 430
DENVER CO
80210-5836
US

IV. Provider business mailing address

2535 S DOWNING ST STE 430
DENVER CO
80210-5836
US

V. Phone/Fax

Practice location:
  • Phone: 303-715-2365
  • Fax: 303-715-2375
Mailing address:
  • Phone: 303-715-2365
  • Fax: 303-715-2375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberDR.68768
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberD87504
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: