Individual
DR. DOUGLAS JAMES LATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1055 N 300 W STE 311, PROVO, UT 84604-3373
(801) 357-7883
(801) 357-7975
Mailing address
1055 N 300 W STE 311, PROVO, UT 84604-3373
(801) 357-7883
(801) 357-7975
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10663165-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/07/2015
Last updated
05/02/2018
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