Individual
CHARLOTTE MARIE DUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18000 RIVER AVE, NOBLESVILLE, IN 46062-8329
(317) 773-6579
(317) 776-4557
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01036792A
IN
207YX0602X
Otolaryngic Allergy Physician
01036792A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100355210
—
IN
Enumeration date
03/28/2006
Last updated
11/27/2023
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