Individual
MATTHEW JOSEPH K DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
(602) 344-1423
Mailing address
DISTRICT MEDICAL GROUP, 2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
52694
AZ
207P00000X
Emergency Medicine Physician
9861977
ID
Other
Enumeration date
06/05/2014
Last updated
12/02/2024
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