Search › California › 1041C0700X
Roy Douglas
NPI 1407229248 · on the registry since 2015
Practice
- Address
- 1235 Mcherney
A And B
Modesto, CA 95350 - Phone
- (209) 507-5559
Additional practice sites
- 1212 N California St, Stockton, CA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
101YP2500X
171M00000X - Licence states on file
- CA, NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California