Organization
DOUGLAS W ANKROM, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS WARREN ANKROM M.D, (PRESIDENT)
(209) 533-3321
Entity
Organization
Contact information
Practice address
680 GUZZI LN STE 205, SONORA, CA 95370-5288
(209) 533-3321
(209) 533-3118
Mailing address
680 GUZZI LN STE 205, SONORA, CA 95370-5288
(209) 533-3321
(209) 533-3118
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A52517
CA
Other
Enumeration date
05/18/2007
Last updated
01/06/2011
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