Terrence Michael Dougan, PA-C
Physician Assistant in Parma, OH. Individual provider (NPI-1).
NPI number1235161167
StatusActive
Last updated in NPPESJun 22, 2010
Details
- NPI
- 1235161167
- Entity type
- Individual (NPI-1)
- Name
- Mr. Terrence Michael Dougan
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2006
- Last updated
- Jun 22, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 50000230 | OH | Yes |
| 207P00000X | Emergency Medicine | 50.000230 | OH |
Practice location
7007 Powers BlvdParma, OH 44129-5437
Phone 440-743-4021
Mailing address
1590 Applewood DrSeven Hills, OH 44131-5833
Phone 216-642-1309 · Fax 216-642-4309
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