Dr Steven Jeffrey Douglass, MD | |
1 Kings Way, Chief Medical Officer, Avenal, CA 93204-9708 | |
(559) 386-0587 | |
Not Available |
Full Name | Dr Steven Jeffrey Douglass |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1 Kings Way, Avenal, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588835177 | NPI | - | NPPES |
00G392620 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G39262 (California) | Primary |
Mailing Address | Practice Location Address |
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Dr Steven Jeffrey Douglass, MD 8005 El Retiro Ave, Atascadero, CA 93422-3730 Ph: (805) 466-8061 | Dr Steven Jeffrey Douglass, MD 1 Kings Way, Chief Medical Officer, Avenal, CA 93204-9708 Ph: (559) 386-0587 |
Kelvis Gonzalez Gallardo, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 148 E Kings St, Avenal, CA 93204 Phone: 559-386-9000 Fax: 559-386-9090 | |
Dr. Jasmine Rarang Biol, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Kings Way, Medical Department Avenal State Prison, Avenal, CA 93204 Phone: 559-386-0587 |