Provider Demographics
NPI:1740503473
Name:DUGAN DME INC
Entity type:Organization
Organization Name:DUGAN DME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:DUGAN
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:918-647-7829
Mailing Address - Street 1:PO BOX 399
Mailing Address - Street 2:
Mailing Address - City:CROWDER
Mailing Address - State:OK
Mailing Address - Zip Code:74430-0399
Mailing Address - Country:US
Mailing Address - Phone:918-647-7829
Mailing Address - Fax:918-334-5581
Practice Address - Street 1:446 SOUTH B
Practice Address - Street 2:
Practice Address - City:CROWDER
Practice Address - State:OK
Practice Address - Zip Code:74430
Practice Address - Country:US
Practice Address - Phone:918-647-7829
Practice Address - Fax:918-334-5581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies