Individual
ELIZABETH S. DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
15 N MEDICAL DR STE 1100, SALT LAKE CITY, UT 84112-1100
(801) 581-2121
Mailing address
15 N MEDICAL DR STE 1100, SALT LAKE CITY, UT 84112-1100
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
13099794-1205
UT
207ZP0213X
Pediatric Pathology Physician
13099794-1205
UT
Other
Enumeration date
04/03/2019
Last updated
03/05/2024
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