DOUGLAS GORDON MCCARTY

MORENO VALLEY, CA
NPI1043315880
Former NameDOUG GORDON MCCARTY
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA11412)
Enumeration Date2006-09-14
Last Update Date2007-07-08
Business Address
Mr. DOUGLAS GORDON MCCARTY Physican Assistant
12980 FREDERICK ST STE I
MORENO VALLEY, CA 92553-5263
Phone number: 951-924-3244
Mailing Address
Mr. DOUGLAS GORDON MCCARTY Physican Assistant
PO BOX 1958 32382 PINE MANOR LANE
RUNNING SPRINGS, CA 92382-1958
Phone number: 909-800-1121