Individual
DAWN P MCNAUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1140 S KNOXVILLE AVE STE A, SAINT MARYS, OH 45885-2609
(419) 394-9959
(419) 394-0255
Mailing address
200 SAINT CLAIR AVE, SAINT MARYS, OH 45885-2400
(419) 300-1129
(419) 394-0255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35078632M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003049
MEDICAID LEGACY
OH
05
—
2658137
—
OH
01
—
9934723
MEDICARE ORGANIZATIONAL PTAN
OH
Enumeration date
04/07/2006
Last updated
03/28/2022
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