Shane Izon Datugan
Physician Assistant · Quantico, VA
NPI number
1538817036
Practice location
3259 Catlin AveQuantico, VA 22134-5109
- Phone
- (703) 784-1725
NPI record
- NPI
- 1538817036
- Entity type
- Individual (Type 1)
- Enumeration date
- March 14, 2022
- Last updated
- March 14, 2022
- Certified
- February 28, 2022
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
— | — |
Mailing address
4106 Rosewood DriveUnit 2
Joint Base Andrews, MD 20746
About Shane Datugan
Shane Izon Datugan is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 3259 Catlin Ave, Quantico, VA 22134-5109. The NPI number 1538817036 was assigned on March 14, 2022 and the record was last updated on March 14, 2022.
Frequently asked questions
What is the NPI number of Shane Izon Datugan?
The NPI number is 1538817036.
What is the phone number of Shane Datugan?
The phone number listed for the practice location is (703) 784-1725.
Where is Shane Datugan located?
3259 Catlin Ave, Quantico, VA 22134-5109.
What is the taxonomy code for Shane Datugan?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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