Individual
MR. DOUGLAS ALLEN FORSYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
(760) 830-5631
(619) 532-5156
Mailing address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
(760) 830-5631
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/29/2009
Last updated
07/17/2013
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