Individual
DR. DOUGLAS K ROSZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
VA SLC HCS # 11E, 500 FOOTHILL DRIVE, SALT LAKE CITY, UT 84148-0001
(801) 584-1202
Mailing address
1136 STATION LOOP RD, PARK CITY, UT 84098-5425
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
17775
MN
2084P0800X
Psychiatry Physician
Primary
188582-1205
UT
2084P0800X
Psychiatry Physician
MD00011062
WA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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