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DOUGLAS W ANKROM MD INC NPI 1477761914


NPI Information

NPI: 1477761914
Provider Name: DOUGLAS W ANKROM, MD, INC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
680 GUZZI LN STE 205
SONORA, CA
ZIP 95370
Phone: (209) 533-3321
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DOUGLAS W ANKROM, MD, INC is a specialist in Sonora, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DOUGLAS W ANKROM, MD, INC NPI is 1477761914. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

680 GUZZI LN STE 205
SONORA, CA
ZIP 95370-288
Phone: (209) 533-3321
Fax: (209) 533-3118

The provider's authorized official is Douglas Warren Ankrom .
The authorized official title is President and has the following contact phone number (209) 533-3321.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 1/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA52517CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ02112ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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