DAVID DOUGLAS P.A. NPI 1932240207

NPI Information

NPI: 1932240207
Provider Name: DAVID DOUGLAS, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
5312 W SHAGGY PEAK DR
RIVERTON, UT
ZIP 84096
Phone: (801) 792-3635
Get Directions

David Douglas, P.A. is a medical physician assistant in Riverton, UT. David Douglas, P.A. NPI is 1932240207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5312 W SHAGGY PEAK DR
RIVERTON, UT
ZIP 84096-418
Phone: (801) 792-3635
Fax: (801) 446-1305

The enumeration date for this NPI number is 2/9/2007 and was last updated on 1/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	51755361206	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	51755361206	OTHER	UTAH	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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