Individual
MICHAEL DORROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7850
(678) 285-6777
Mailing address
PO BOX 3570, SALT LAKE CITY, UT 84110-3570
(801) 432-2600
(678) 285-6777
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
6358989-1205
UT
207L00000X
Anesthesiology Physician
8046A
WY
207L00000X
Anesthesiology Physician
MD222581
OR
Other
Enumeration date
09/14/2007
Last updated
01/29/2025
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