Provider Demographics
NPI:1437148491
Name:MCDERMOTT, FRANCIS P JR (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:P
Last Name:MCDERMOTT
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 HUMBOLDT RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-9199
Mailing Address - Country:US
Mailing Address - Phone:530-899-3370
Mailing Address - Fax:530-894-4030
Practice Address - Street 1:1660 HUMBOLDT RD
Practice Address - Street 2:SUITE 3
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-9199
Practice Address - Country:US
Practice Address - Phone:530-899-3370
Practice Address - Fax:530-894-4030
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-20
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG81118174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G811180Medicare PIN
CAG07631Medicare UPIN