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B. Douglas Lewis, M.d., A Professional Corporation
Radiology Clinic/Center in Atherton, California
NPI 1013168491

B. Douglas Lewis, M.d., A Professional Corporation is a Radiology Clinic/Center based in Atherton, CA and is specialized in Radiology. B. Douglas Lewis, M.d., A Professional Corporation practices in Atherton, CA. The NPI Number for B. Douglas Lewis, M.d., A Professional Corporation is 1013168491 and holds a License No. G48356 (California).

The current practice location address for B. Douglas Lewis, M.d., A Professional Corporation is 3351 El Camino Real Ste 205, Atherton, CA and can be reached out via phone at 650-364-3600 and via fax at 650-364-3609.

Location: 3351 El Camino Real Ste 205, Atherton, CA, 94027-3864
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013168491
Provider Name
B. Douglas Lewis, M.d., A Professional Corporation
Credential
Provider Entity Type
Organization
Address
3351 El Camino Real Ste 205, Atherton, CA, 94027-3864
Phone Number
650-364-3600
Fax Number
650-364-3609
Provider Enumeration Date
10/03/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
3351 El Camino Real Ste 205
City
Atherton
State
California
Zip
94027-3864
Phone Number
650-364-3600
Fax Number
650-364-3609
person
Provider Business Mailing Address Details
Address
3351 El Camino Real Ste 205
City
Atherton
State
California
Zip
94027-3864
Phone Number
650-364-3600
Fax Number
650-364-3609
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
G48356 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
G48356 (California)
Definition
Definition to come...
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