Individual
DR. DOUGLAS GERMOND TOLLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1007 LIVE OAK BLVD, SUITE B2, YUBA CITY, CA 95991-3454
(530) 671-8718
(530) 671-8725
Mailing address
1007 LIVE OAK BLVD, SUITE B2, YUBA CITY, CA 95991-3454
(530) 671-8718
(530) 671-8725
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G22256
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G222560
BLUE SHIELD PIN #
CA
01
—
05D0947254
FEDERAL CLIA ID #
CA
05
—
1649203175
—
CA
Enumeration date
07/08/2006
Last updated
10/03/2014
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