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Individual

DR. ELSPETH M MCDOUGALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-3429
(714) 456-5062
Mailing address
PO BOX 51342, LOS ANGELES, CA 90051-5642
(714) 456-3429
(714) 456-5062

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C50918
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00C509180
BLUE SHIELD
CA
05
00C509180
CA
Enumeration date
08/21/2006
Last updated
07/08/2007
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