Donald L Coursey MD Medical Corporation
Specialist in Ukiah, CA. Organization (NPI-2).
NPI number1306135603
StatusActive
Last updated in NPPESApr 7, 2011
Details
- NPI
- 1306135603
- Entity type
- Organization (NPI-2)
- Legal business name
- Donald L Coursey MD Medical Corporation
- Organization subpart
- No
- Enumeration date
- Apr 7, 2011
- Last updated
- Apr 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | G16584 | CA | Yes |
Practice location
1165 S Dora St Ste C2Ukiah, CA 95482-6353
Phone 707-462-8855
Mailing address
1165 S Dora St Ste C2Ukiah, CA 95482-6353
Phone 707-462-8855
Authorized official
Donald L Coursey
President/Owner
7074628855
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