Dr. Matthew G Macdougall
Neurosurgeon
1100 Van Ness Ave
San Francisco
, California 94109-6978
Dr. Matthew G Macdougall
Neurosurgeon
1100 Van Ness Ave
San Francisco
, California 94109-6978
(415) 369-1207
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Dr. Matthew G Macdougall
- 325 Distel Cir
- Los Altos, CA
- Zip : 94022-1408
- Fax : (415) 369-1207
- Phone : (415) 600-0528
Second Address
- Dr. Matthew G Macdougall
- 1100 Van Ness Ave
- San Francisco, CA
- Zip : 94109-6978
- Fax : (415) 369-1207
- Phone : (415) 600-0528
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | A115686 | CA |
National Provider Identifier
| NPI | 1053638320 |
|---|---|
| Provider Name | Dr. Matthew G Macdougall |
| First Address | Los Altos, CA 94022-1408 |
| Second Address | San Francisco, CA 94109-6978 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2010 |
| Last Update Date | 06/05/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A115686 | STATE MEDICAL LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.