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1932240207
DAVID DOUGLAS
RIVERTON, UT
NPI
1932240207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: UT 51755361206)
Enumeration Date
2007-02-09
Last Update Date
2022-01-27
Business Address
DAVID DOUGLAS P.A.
5312 W SHAGGY PEAK DR
RIVERTON, UT 84096-6418
Phone number: 801-792-3635
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Mailing Address
DAVID DOUGLAS P.A.
5312 W SHAGGY PEAK DR
RIVERTON, UT 84096-6418
Phone number: 801-792-3635
Copy
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