Organization
PIERRE MEDICAL CORPORATION
Active
Organization
PIERRE MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG MCKENNEY (BILLER)
(805) 496-9190
Entity
Organization
Contact information
Practice address
77 ROLLING OAKS DR STE 207, THOUSAND OAKS, CA 91361-1019
(805) 496-9190
(805) 496-9185
Mailing address
77 ROLLING OAKS DR STE 207, THOUSAND OAKS, CA 91361-1019
(805) 496-9190
(805) 496-9185
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/10/2007
Last updated
06/04/2020
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