DOUGLAS LAMAR FILLMORE

PROVO, UT
NPI1447341193
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  4945215-1205)
Enumeration Date2006-09-27
Last Update Date2007-10-15
Business Address
-- DOUGLAS LAMAR FILLMORE PA
1055 N 500 W SUITE 121
PROVO, UT 84604-3305
Phone number: 801-373-7350
Mailing Address
-- DOUGLAS LAMAR FILLMORE PA
1055 N 500 W CREDENTIALING DEPARTMENT
PROVO, UT 84604-3305
Phone number: 801-354-8215
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