Provider Demographics
NPI:1033430293
Name:MCGRAW, DOUGLAS LAURENCE (DO)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:LAURENCE
Last Name:MCGRAW
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1700 BRUCE RD
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-7941
Mailing Address - Country:US
Mailing Address - Phone:530-891-1900
Mailing Address - Fax:530-895-1664
Practice Address - Street 1:320 H ST STE 4
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:CA
Practice Address - Zip Code:95901-5834
Practice Address - Country:US
Practice Address - Phone:530-743-1873
Practice Address - Fax:530-743-1460
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101018691207W00000X
CA20A13644207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology