Individual
DR. DEANE LEROY WOLCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8201 BEVERLY BLVD, LOS ANGELES, CA 90048-4505
(323) 966-3571
(323) 966-3685
Mailing address
8201 BEVERLY BLVD, LOS ANGELES, CA 90048-4505
(323) 966-3571
(323) 966-3685
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
G28538
CA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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