Provider Demographics
NPI:1689770364
Name:COURSEY, DONALD LEROY (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:LEROY
Last Name:COURSEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1165 S DORA ST
Mailing Address - Street 2:STE C2
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482
Mailing Address - Country:US
Mailing Address - Phone:707-462-8855
Mailing Address - Fax:707-462-8386
Practice Address - Street 1:1165 S DORA ST
Practice Address - Street 2:STE C2
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482
Practice Address - Country:US
Practice Address - Phone:707-462-8855
Practice Address - Fax:707-462-8855
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG16584207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology