person
David Douglas, PA
Medical Physician Assistant in Riverton, Utah
NPI 1932240207

David Douglas is a Medical Physician Assistant based in Riverton, UT and is specialized in Medical. David Douglas practices in Riverton, UT and has the professional credentials of PA. The NPI Number for David Douglas is 1932240207 and holds a License No. 51755361206 (Utah).

The current practice location address for David Douglas is 5312 W Shaggy Peak Dr, Riverton, UT and can be reached out via phone at 801-792-3635 and via fax at 801-446-1305.

Location: 5312 W Shaggy Peak Dr, Riverton, UT, 84096-6418
person
Provider Profile Details
NPI Number
1932240207
Provider Name
David Douglas
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
5312 W Shaggy Peak Dr, Riverton, UT, 84096-6418
Phone Number
801-792-3635
Fax Number
801-446-1305
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51755361206 01 UT STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
5312 W Shaggy Peak Dr
City
State
Zip
84096-6418
Phone Number
801-792-3635
Fax Number
801-446-1305
person
Provider Business Mailing Address Details
Address
5312 W Shaggy Peak Dr
City
State
Zip
84096-6418
Phone Number
801-792-3635
Fax Number
801-446-1305
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
51755361206 (Utah)
Definition
Definition to come...
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