MR. Douglas Gordon Mccarty I, PHYSICAN ASSISTANT
NPI #1043315880 in Moreno Valley, California
Provider Information
- NPI Number
- 1043315880
- Entity Type
- Individual
- Name
- MR. Douglas Gordon Mccarty I, PHYSICAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICAN ASSISTANT
- Enumeration Date
- Sep 14, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 12980 FREDERICK ST STE I
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92553-5263
- Phone
- (951) 924-3244
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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