Individual
MR. JOEL DANIEL DOUGHTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4435 BROCKTON AVE, RIVERSIDE, CA 92501-4004
(951) 682-9900
(951) 682-1272
Mailing address
4435 BROCKTON AVE, RIVERSIDE, CA 92501-4004
(951) 682-9900
(951) 682-1272
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A45021
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A45021
CA
Other
Enumeration date
12/05/2006
Last updated
11/05/2009
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