Organization
TOOELE ORTHOPEDICS & SPORTS MEDICINE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ANTONI DOUGLAS DO (PRESIDENT)
(435) 833-9180
Entity
Organization
Contact information
Practice address
1929 AARON DR, SUITE L, TOOELE, UT 84074-8112
(435) 833-9180
Mailing address
1929 AARON DR, SUITE L, TOOELE, UT 84074-8112
(435) 833-9180
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
UT
Other
Enumeration date
08/04/2005
Last updated
07/21/2022
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