Individual
MR. DOUGLAS GORDON MCCARTY I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAN ASSISTANT
Contact information
Practice address
12980 FREDERICK ST STE I, MORENO VALLEY, CA 92553-5263
(951) 924-3244
(951) 243-6976
Mailing address
PO BOX 1958, 32382 PINE MANOR LANE, RUNNING SPRINGS, CA 92382-1958
(909) 800-1121
(909) 867-2852
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11412
CA
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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