Healthcare Provider Details

I. General information

NPI: 1487660999
Provider Name (Legal Business Name): PATRICIA ANN DUGGAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 SOM CENTER RD SUITE 170
CLEVELAND OH
44143-2350
US

IV. Provider business mailing address

730 SOM CENTER RD SUITE 170
CLEVELAND OH
44143-2350
US

V. Phone/Fax

Practice location:
  • Phone: 440-442-9300
  • Fax: 440-442-9308
Mailing address:
  • Phone: 440-442-9300
  • Fax: 440-442-9308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number35-083562
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: