Individual
SCOTT GREGORY DOUGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 E LIBERTY ST STE 555, RENO, NV 89501-2104
(775) 348-1900
Mailing address
636 EASTERN PKWY, APT 4A, BROOKLYN, NY 11213-3320
(707) 315-2407
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20310
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2016
Last updated
05/04/2021
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