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Organization

DOUGLAS SCHOW JR., M.D. A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOUGLAS SCHOW JR. MD (PRESIDENT)
(801) 374-9053
Entity
Organization

Contact information

Practice address
1055 N 300 W, SUITE 203, PROVO, UT 84604-3374
(801) 374-9053
(801) 357-7869
Mailing address
1055 N 300 W, SUITE 203, PROVO, UT 84604-3374
(801) 374-9053
(801) 357-7869

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
155556-1205
UT
332B00000X
Durable Medical Equipment & Medical Supplies
155556-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
519542457009
UT
Enumeration date
02/22/2007
Last updated
04/18/2008
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