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David R Couillard, MD
Urology Physician in Roseville, California
NPI 1457462319

David R Couillard is a Urology Physician based in Roseville, CA. David R Couillard practices in Roseville, CA and has the professional credentials of MD. The NPI Number for David R Couillard is 1457462319 and holds a License No. G68651 (California).

The current practice location address for David R Couillard is 584 N Sunrise Ave Ste 100, Roseville, CA and can be reached out via phone at 916-251-3063 and via fax at 916-459-2403.

Location: 584 N Sunrise Ave Ste 100, Roseville, CA, 95661-2862
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457462319
Provider Name
David R Couillard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
584 N Sunrise Ave Ste 100, Roseville, CA, 95661-2862
Phone Number
916-251-3063
Fax Number
916-459-2403
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ26454Z 01 CA MEDICARE GROUP PTAN
00G686510 05 CA
institution
Provider Business Practice Location Address Details
Address
584 N Sunrise Ave Ste 100
City
Roseville
State
California
Zip
95661-2862
Phone Number
916-251-3063
Fax Number
916-459-2403
person
Provider Business Mailing Address Details
Address
584 N Sunrise Ave Ste 100
City
Roseville
State
California
Zip
95661-2862
Phone Number
916-251-3063
Fax Number
916-459-2403
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
G68651 (California)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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