SearchCalifornia104100000X

Douglas Vader

NPI 1861517310 · on the registry since 2007

Practice

Address
1215 S Main St
Yreka, CA 96097
Phone
(530) 841-4200

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
101YM0800X
Sex
Male
Record last updated
2008-03-13

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