DOUGLAS LEE FAISON

SAN DIEGO, CA
NPI1396717492
Former NameDOUGLAS LEE WILLIAMS
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  1032153)
Enumeration Date2006-02-02
Last Update Date2007-07-08
Business Address
Mr. DOUGLAS LEE FAISON PA-C
35000 GUADALCANAL AVE BRANCH MEDICAL CLINIC, MCRD BLD 596
SAN DIEGO, CA 92140-5599
Phone number: 619-524-0789
Mailing Address
Mr. DOUGLAS LEE FAISON PA-C
23759 MOONGLOW CT
RAMONA, CA 92065-4517
Phone number: 619-524-0789
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