Dr JERRY E DOUGLAS is a male medical professional, specializing in Family Medicine. He graduated in 1982 from Indiana University School Of Medicine.
MENDOCINO COMMUNITY HEALTH CLINIC, INC.
333 LAWS AVE
UKIAH
CA
954826540
Tel: 7074681010
| Npi | 1285603621 |
| Pac Id | 6608944616 |
| Professional Enrollment Id | I20090713000422 |
| Last Name | DOUGLAS |
| First Name | JERRY |
| Middle Name | E |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | MENDOCINO COMMUNITY HEALTH CLINIC, INC. |
| Group Practice Pac Id | 6305755455 |
| Number Of Group Practice Members | 30 |
| Line 1 Street Address | 333 LAWS AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | UKIAH |
| State | CA |
| Zip Code | 954826540 |
| Phone Number | 7074681010 |
| Hospital Affiliation Ccn 1 | 051317 |
| Hospital Affiliation Lbn 1 | ADVENTIST HEALTH CLEARLAKE |
| Hospital Affiliation Ccn 2 | 050301 |
| Hospital Affiliation Lbn 2 | ADVENTIST HEALTH UKIAH VALLEY |
| Hospital Affiliation Ccn 3 | 051329 |
| Hospital Affiliation Lbn 3 | SUTTER LAKESIDE HOSPITAL |
| Hospital Affiliation Ccn 4 | 051310 |
| Hospital Affiliation Lbn 4 | ADVENTIST HEALTH HOWARD MEMORIAL |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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