Individual
ERIC C MCDOUGALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3920 S 1100 EAST, STE 220, SALT LAKE CITY, UT 84124
(801) 268-2584
(801) 262-1168
Mailing address
3920 S 1100 EAST, STE 220, SALT LAKE CITY, UT 84124
(801) 268-2584
(801) 262-1168
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3726131205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870573947004
—
UT
Enumeration date
02/22/2006
Last updated
07/08/2007
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