Individual
DR. DONALD CASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
412 S 6TH AVE, BARSTOW, CA 92311-2935
(760) 256-0213
(760) 256-4073
Mailing address
412 S 6TH AVE, BARSTOW, CA 92311-2935
(760) 256-0213
(760) 256-4073
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G58540
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G585400
—
CA
Enumeration date
02/22/2007
Last updated
07/08/2007
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