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Search › California › 207Q00000X

Jerry Douglas, MD

NPI 1285603621 · on the registry since 2006

Practice

Address
15322 Lakeshore Dr
Suite 202
Clearlake, CA 95422
Phone
(707) 994-0303
Fax
(707) 995-9447
Organisation at this address
Mark Freeman, Md
Rj Ringrose Dds Inc
St. Helena Ob/Gyn Clinic
Michael D. Shepherd M.D. Inc.
Adventist Health Physician Network
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
207Q00000X
Licence states on file
IN, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California