Shane Izon Datugan
Shane Izon Datugan is a Physician Assistant in Quantico, Virginia. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3259 Catlin AveQuantico, VA 22134-5109
Phone: (703) 784-1725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1538817036 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 14, 2022 |
| Last updated in NPPES | March 14, 2022 |
| Certification date | February 28, 2022 |
| Mailing address | 4106 Rosewood Drive, Unit 2, Joint Base Andrews, MD 20746 |
Other providers in Quantico
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William Craig Ashby, PA
3259 Catlin Ave, Quantico, VA 22134-5109 · (703) 784-1528
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Megan Challacombe, PA-C
3259 Catlin Ave, Quantico, VA 22134-5109 · (202) 433-6529
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Rafael G Cohen, PA-C
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Caroline Rose Doyle
3259 Catlin Ave, Quantico, VA 22134-5109 · (703) 784-1725
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Dr. Michael Dean Evans, DMSC, MPAS, PA-C
3259 Catlin Ave, Quantico, VA 22134-5109 · (757) 955-4047
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Abigail Victoria Galloway
3259 Catlin Ave, Quantico, VA 22134-5109 · (703) 784-1725
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Kang Kim
3259 Catlin Ave, Quantico, VA 22134-5109 · (301) 535-1541