Individual
BRIAN T DUGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 S WILLARD ST, COTTONWOOD, AZ 86326-4126
(928) 639-6025
(928) 634-1117
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
44878
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
638692
—
AZ
01
—
P01108527
RAILROAD MEDICARE
AZ
Enumeration date
02/17/2007
Last updated
09/08/2021
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