Individual
DOUGLAS D CHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1151 E 3900 S, B150, SALT LAKE CITY, UT 84124-1216
(801) 262-3441
(801) 269-9005
Mailing address
232 E 300 N, MIDWAY, UT 84049-6917
(435) 760-3968
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
170121-1205
UT
Other
Enumeration date
07/12/2005
Last updated
12/20/2013
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