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Individual

REUBEN SYLVESTER DOGGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
305 PARK CREEK DR, CLOVIS, CA 93611-4426
(559) 326-2815
(559) 326-2801
Mailing address
PO BOX 2130, CLOVIS, CA 93613-2130
(559) 326-2815
(559) 326-2801

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G41035
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G410350
CA
01
220022684
RAILROAD MEDICARE
Enumeration date
06/12/2006
Last updated
12/21/2010
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