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Mr. Douglas Lee Faison, PA-C
Medical Physician Assistant in San Diego, California
NPI 1396717492

Douglas Lee Faison is a Medical Physician Assistant based in Ramona, CA and is specialized in Medical. Douglas Lee Faison practices in San Diego, CA and has the professional credentials of PA-C. The NPI Number for Douglas Lee Faison is 1396717492 and holds a License No. 1032153 (California).

The current practice location address for Douglas Lee Faison is 35000 Guadalcanal Ave, San Diego, CA and can be reached out via phone at 619-524-0789.

Location: 35000 Guadalcanal Ave, San Diego, CA, 92065-4517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396717492
Provider Name
Douglas Lee Faison
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
35000 Guadalcanal Ave, San Diego, CA, 92065-4517
Phone Number
619-524-0789
Fax Number
Provider Enumeration Date
02/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
35000 Guadalcanal Ave
City
San Diego
State
California
Zip
92140-5599
Phone Number
619-524-0789
Fax Number
person
Provider Business Mailing Address Details
Address
35000 Guadalcanal Ave
City
San Diego
State
California
Zip
92140-5599
Phone Number
619-524-0789
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
1032153 (Georgia)
Definition
Definition to come...
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