Search › Pennsylvania › 207Q00000X
Douglas Mercooloff
NPI 1487221503 · on the registry since 2021 · sole proprietor
Practice
- Address
- 148 Cooks Landing Rd
Peach Bottom, PA 17563 - Phone
- (530) 553-8772
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-08
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 Pennsylvania