Individual
DR. GREGORY EDWARD DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9281 OFFICE PARK CIR, 120, ELK GROVE, CA 95758-8068
(916) 896-1650
(916) 896-1959
Mailing address
9281 OFFICE PARK CIR, 120, ELK GROVE, CA 95758-8068
(916) 896-1650
(916) 896-1959
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C39164
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C391640
—
CA
05
—
00C391641
—
CA
Enumeration date
02/13/2006
Last updated
08/07/2013
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