Individual
DR. MICHANGELO DARREN SCRUGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1328 SOUTHERN AVE SE, SUITE 209, WASHINGTON, DC 20032-4689
(202) 506-1001
(202) 506-1008
Mailing address
4316 18TH ST NW, WASHINGTON, DC 20011-4228
(202) 412-9664
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO1000031
DC
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO1000031
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035237700
—
DC
01
—
947AMD- MD
CAREFIRST BC/BS
DC
01
—
J892
CAREFRIST BC/BS
DC
Enumeration date
05/16/2007
Last updated
05/03/2010
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