Individual
DOUGLAS P PLOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 N 500 E, LOGAN, UT 84341
(435) 716-1000
Mailing address
PO BOX 25535, SALT LAKE CITY, UT 84125
(866) 898-7136
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
2643191205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5296186401001
BCBS
—
05
—
806339800
—
ID
01
—
930117174
RAILROAD MEDICARE
—
05
—
D0310
—
UT
Enumeration date
07/06/2006
Last updated
03/12/2015
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