Provider Demographics
NPI:1972589810
Name:DUGGAN, WILLIAM J (DO)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:DUGGAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:LIAM
Other - Middle Name:J
Other - Last Name:DUGGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:10571 FALLS CREEK LN
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45458-6006
Mailing Address - Country:US
Mailing Address - Phone:937-885-1750
Mailing Address - Fax:937-885-1751
Practice Address - Street 1:10571 FALLS CREEK LN
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45458-6006
Practice Address - Country:US
Practice Address - Phone:937-885-1750
Practice Address - Fax:937-885-1751
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34003999207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0720167OtherUNITED HEALTH CARE
OHD0399911OtherHUMANA/CHOICECARE
OH0694481Medicaid
OH160058958OtherRAILROAD MEDICARE
OH000000227866OtherANTHEM
OH000000227866OtherUNICARE
OH34003999DOtherMEDICAL LICENSE
OHD0399910OtherHUMANA/CHOICECARE
OH421534506060OtherCARESOURCE
OHOC018842OtherNATIONWIDE
OH2916334OtherAETNA
OH0720167OtherUNITED HEALTH CARE
OH000000227866OtherANTHEM
OHOC018842OtherNATIONWIDE