NPI 1851391908 · live from the CMS NPI Registry
John Antoni Douglas, D.O.
Orthopaedic Surgery in Tooele, UT. National Provider Identifier 1851391908, active.
NPI record
| NPI | 1851391908 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 2321 N 400 E Ste 300, Tooele, UT 84074 |
| Practice phone | 435-833-9180 |
| Enumerated | July 29, 2005 |
| Last updated | August 21, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | 56170741204 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.