Individual
DR. DOUGLAS CLARK FLEGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
740 E 3900 S, SUITE 108, SALT LAKE CITY, UT 84107-2181
(801) 266-3113
(801) 266-5633
Mailing address
740 E 3900 S, SUITE 108, SALT LAKE CITY, UT 84107-2181
(801) 266-3113
(801) 266-5633
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
102232-0501
UT
213ER0200X
Radiology Podiatrist
102232-0501
UT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
102232-0501
UT
Other
Enumeration date
02/15/2008
Last updated
08/28/2012
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