NPI 1043315880

Douglas Gordon McCarty, PHYSICANASSISTANT

Practitioner Physician Assistant Moreno Valley, CA

Practice location

Address: 12980 Frederick St STE I, Moreno Valley, CA 92553-5263
Phone: (951) 924-3244
Fax: (951) 243-6976
Mailing address: PO Box 1958 32382 Pine Manor Lane, Running Springs, CA 92382-1958

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA11412 (CA)

Other Physician Assistant providers in California →

Registry record

NPI: 1043315880
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.