Provider Demographics
NPI:1356530950
Name:ALAN J DRUCKER MD INC
Entity type:Organization
Organization Name:ALAN J DRUCKER MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:DRUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-322-3705
Mailing Address - Street 1:2150 E TAHQUITZ CANYON WAY STE 6
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-6818
Mailing Address - Country:US
Mailing Address - Phone:760-322-3705
Mailing Address - Fax:888-392-6660
Practice Address - Street 1:2150 E TAHQUITZ CANYON WAY STE 6
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-6818
Practice Address - Country:US
Practice Address - Phone:760-322-3705
Practice Address - Fax:888-392-6660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2023-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG0672282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty