Individual
MRS. MEGAN J DOUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
240 W 11TH ST, 2ND FLOOR, ERIE, PA 16501-1702
(814) 452-2218
(814) 455-2925
Mailing address
240 W 11TH ST, 2ND FLOOR, ERIE, PA 16501-1702
(814) 452-2218
(814) 455-2925
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053290
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA053290
LICENSE
PA
Enumeration date
12/13/2007
Last updated
04/21/2011
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