Organization
DONALD L COURSEY MD MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD L COURSEY M.D. (PRESIDENT/OWNER)
(707) 462-8855
Entity
Organization
Contact information
Practice address
1165 S DORA ST STE C2, UKIAH, CA 95482-6353
(707) 462-8855
Mailing address
1165 S DORA ST STE C2, UKIAH, CA 95482-6353
(707) 462-8855
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G16584
CA
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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