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Organization
DOYLE PARK FAMILY MEDICINE
Active
Organization
DOYLE PARK FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY MCLEOD M.D. (PRESIDENT)
(707) 526-1800
Entity
Organization
Contact information
Practice address
510 DOYLE PARK DR, SANTA ROSA, CA 95405-4570
(707) 526-1800
(707) 522-1737
Mailing address
510 DOYLE PARK DR, SANTA ROSA, CA 95405-4570
(707) 526-1800
(707) 522-1737
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0068710
—
CA
Enumeration date
12/05/2006
Last updated
08/22/2020
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