Individual
WILLIAM GLEN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3701 J ST STE 201, SACRAMENTO, CA 95816-5542
(916) 454-2345
Mailing address
1860 HOWE AVE STE 440, SACRAMENTO, CA 95825-1098
(916) 569-8484
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G46175
CA
Other
Enumeration date
02/26/2009
Last updated
09/12/2022
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