Individual
DR. JANELLE L MCGOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6531 PINE CREST CIR, CARMICHAEL, CA 95608-1938
(916) 962-2355
Mailing address
6531 PINE CREST CIR, CARMICHAEL, CA 95608-1938
(916) 962-2355
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A8562
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX85620
—
CA
Enumeration date
02/08/2007
Last updated
09/23/2009
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