Individual
DR. DOUGLAS W PEPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1207 FAIRCHILD CT, WOODLAND, CA 95695-4321
(530) 666-1631
(530) 668-9571
Mailing address
305 BARTLETT AVE, WOODLAND, CA 95695-4712
(530) 666-4922
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G25387
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G253870
BLUE SHIELD
CA
05
—
00G253870
—
CA
01
—
P00090221
RR MEDICARE
CA
Enumeration date
07/17/2006
Last updated
07/09/2007
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