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1013322494
MATTHEW DOUGLASS
SALT LAKE CITY, UT
NPI
1013322494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: UT 10341688-1204)
Enumeration Date
2014-06-24
Last Update Date
2021-10-20
Business Address
Dr. MATTHEW DOUGLASS DO
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-5524
Phone number: 402-559-6329
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Mailing Address
Dr. MATTHEW DOUGLASS DO
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1287
Phone number:
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