# DOUGLAS SCHOW JR., M.D. A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669507562
- **Authorized official:** DR. DOUGLAS SCHOW JR. MD (PRESIDENT)
- **Authorized official phone:** (801) 374-9053

## Contact information

- **Practice address:** 1055 N 300 W, SUITE 203, PROVO, UT 84604-3374
- **Practice address phone:** (801) 374-9053
- **Practice address fax:** (801) 357-7869
- **Mailing address:** 1055 N 300 W, SUITE 203, PROVO, UT 84604-3374
- **Mailing address phone:** (801) 374-9053
- **Mailing address fax:** (801) 357-7869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 155556-1205 | UT | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 155556-1205 | UT | — |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 04/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 519542457009 | — | UT |