Individual
DR. TROY SCOTT DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-6120
Mailing address
3337 VINE CLIFF WAY, MODESTO, CA 95355-8469
(209) 551-3386
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4641
CA
Other
Enumeration date
11/16/2006
Last updated
12/20/2021
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