Individual
DR. DOUGLAS EUGENE OUTCALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 E. VAN BUREN, PHOENIX, AZ 85004
(602) 827-2014
(602) 827-2221
Mailing address
505 E. VAN BUREN, PHOENIX, AZ 85004
(602) 827-2014
(602) 827-2221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13340
AZ
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
13340
AZ
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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