Individual
JOHN ANTONI DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2321 N 400 E STE 300, TOOELE, UT 84074-3440
(435) 833-9180
(435) 883-9177
Mailing address
2321 N 400 E STE 300, TOOELE, UT 84074-3440
(435) 833-9180
(435) 883-9177
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
56170741204
UT
Other
Enumeration date
07/29/2005
Last updated
08/21/2024
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