# JOHN ANTONI DOUGLAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1851391908
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 56170741204 | UT | Yes |

## Other

- **Enumeration date:** 07/29/2005
- **Last updated:** 08/21/2024