Individual
ROBERT JAMES DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13865 LOCUST LN, NAMPA, ID 83686-9367
(208) 989-4991
Mailing address
2510 INAGUA AVE, N/A, COCONUT GROVE, FL 33133-3812
(208) 989-4991
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME13225
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME13225
FL
Other
Enumeration date
07/08/2008
Last updated
03/07/2023
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