DR. JERRY DOUGLAS, MD
Family Medicine
Active
Individual
NPI: 1285603621
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 53653 (CA) |
Frequently Asked Questions
NPI 1285603621 is the National Provider Identifier for DR. JERRY DOUGLAS, MD, a Family Medicine provider located in Clearlake, CA. This NPI was enumerated on March 17, 2006.
DR. JERRY DOUGLAS, MD practices at 15322 LAKESHORE DR, SUITE 202, Clearlake, CA 95422.
Quick Facts
- NPI
- 1285603621
- Type
- Individual
- Enumerated
- Mar 17, 2006
- Last Updated
- Apr 2, 2018
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