Individual
DOUGLAS R HYLDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
412 N 200 E, LOGAN, UT 84321-4038
(435) 713-2800
Mailing address
412 N 200 E, LOGAN, UT 84321-4038
(435) 713-2800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1640051205
UT
Other
Enumeration date
08/08/2006
Last updated
03/01/2012
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