Individual
DOUGLAS MERCOOLOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
148 COOKS LANDING RD, PEACH BOTTOM, PA 17563-9729
(530) 553-8772
Mailing address
148 COOKS LANDING RD, PEACH BOTTOM, PA 17563-9729
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
000008299774
NC
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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