Individual
DANIEL DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
EVANS ARMY COMMUNITY HOSPITAL, 650 COCHRANE CIRCLE, FORT CARSON, CO 80913-4604
(719) 526-2361
Mailing address
EVANS ARMY COMMUNITY HOSPITAL, 650 COCHRANE CIRCLE, FORT CARSON, CO 80913-4604
(719) 526-2361
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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