Douglas K Luke Md Inc | |
1424 Oak Hill Way Roseville CA 95661-4015 | |
(916) 791-3024 | |
Not Available |
Full Name | Douglas K Luke Md Inc |
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Speciality | Family Medicine - Geriatric Medicine |
Location | 1424 Oak Hill Way, Roseville, California |
Authorized Official Name and Position | Douglas K Luke (PRESIDENT) |
Authorized Official Contact | 9167913024 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Douglas K Luke Md Inc 1424 Oak Hill Way Roseville CA 95661-4015 Ph: (916) 791-3024 | Douglas K Luke Md Inc 1424 Oak Hill Way Roseville CA 95661-4015 Ph: (916) 791-3024 |
NPI Number | 1679600779 |
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Provider Enumeration Date | 02/27/2007 |
Last Update Date | 10/23/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679600779 | NPI | - | NPPES |
00G166450 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | G16645 (California) | Primary |
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