Search › California › 104100000X
Douglas Vader
NPI 1861517310 · on the registry since 2007
Practice
- Address
- 1215 S Main St
Yreka, CA 96097 - Phone
- (530) 841-4200
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101YM0800X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-03-13
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