Douglas Malcolm MD

NPI 1053345868 - Emergency Medicine - 207P00000X

NPI Details
NPI 1053345868
Gender Male
Enumeration Date 07/10/2006
Last Updated 11/26/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
911 SUNSET DR
HOLLISTER CA, 95023-5602, US
Phone (831) 636-2640
Fax
Business Location
508 OCEAN BLVD
SHELL BEACH CA, 93449-2130, US
Phone (805) 748-5540
Fax
Toxanomy
Taxonomy Code 207P00000X
License State California
License Number G61262
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According to our database, Dr. Douglas Malcolm MD NPI is 1053345868, taxonomy code is 207P00000X and license number is G61262, license state is located at California. Douglas Malcolm MD physically located at 911 Sunset Dr, Hollister CA, 95023-5602. NPI Number Douglas Malcolm MD has the Individual type.

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1053345868 NPI number is provided on an as is basis without warranty of any kind. 1053345868 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas Malcolm MD are for informational purposes only.