National Provider Identifier
Gary Douglas, M.D.
Gary Douglas, M.D. is listed in the NPPES registry with a primary specialty of Surgery Physician in West Seneca, NY and a listed phone number of (716) 712-0858.
Profile Overview
- NPI
- 1922096668
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- October 06, 2005
- Last Updated
- July 08, 2007
Practice Location
- 1026 Union RD
- West Seneca, NY 14224-3449
Phone: (716) 712-0858
Specialties
- Surgery Physician (208600000X)
Full Record
- NPI
- 1922096668
- Entity Type
- Individual
- Last Name
- Douglas
- First Name
- Gary
- Credential
- M.D.
- Mailing Street Address
- 1026 Union RD
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-3449
- Mailing Country
- US
- Mailing Phone
- (716) 712-0858
- Mailing Fax
- (716) 712-0859
- Practice Street Address
- 1026 Union RD
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-3449
- Practice Country
- US
- Practice Phone
- (716) 712-0858
- Practice Fax
- (716) 712-0859
- Enumeration Date
- October 06, 2005
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X)
- Other Identifiers
- 000523560007 (NY, Bc/Bs), 040426002829 (NY, Fidelis), 148117FL (NY, Preferred Care), 00010047904 (NY, Univera), 01545188 (NY), 1709798 (NY, Iha)