Individual
DR. DOUGLAS SCHOW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 N 300 W, STE 203, PROVO, UT 84604-3344
(801) 374-9053
(801) 357-7869
Mailing address
1055 N 300 W, STE 203, PROVO, UT 84604-3374
(801) 374-9053
(801) 357-7869
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1555561205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0118504
LABOR AND INDUSTRIES
WA
01
—
0991803
UNITED HEALTHCARE
UT
01
—
107006255101
INTERMOUNTAIN HEALTHCARE
—
01
—
156217CU
PREFERRED CARE
NY
01
—
2440
PEHP
UT
01
—
35924
DMBA
UT
01
—
870363636SC1
EMIA
UT
05
—
MD374UT
—
AK
01
—
PRA02825
MOLINA HEALTHCARE
UT
01
—
QM0000026748
ALTIUS
UT
Enumeration date
07/12/2005
Last updated
04/09/2008
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