Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 5101018691 | MI |
NPI | 1033430293 |
---|---|
Provider Name | Douglas Laurence Mcgraw |
First Address | Chico, CA 95926-5137 |
Second Address | Chico, CA 95926-5137 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2010 |
Last Update Date | 16/12/2020 |