Individual
DR. DOUGLAS ROLAND SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4544 S HOLLADAY BLVD, HOLLADAY, UT 84117-4404
(801) 682-6817
Mailing address
4417 S DORIS WAY, HOLLADAY, UT 84124-3525
(801) 682-6817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56913841205
UT
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
56913841205
UT
Other
Enumeration date
12/05/2006
Last updated
01/25/2022
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