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Contact Information

XAVIER DOUGLAS, MD
1919 E THOMAS RD
PHOENIX, AZ85016-7710
 Phone: 602-933-3033
 Fax: 602-933-4311
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for XAVIER DOUGLAS · (Male)

NPI Number 1427519982
Status Active
Credentials MD
Entity Individual
Enumeration date 03/27/2019
Last updated 07/25/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AZ License # 66991
  • OH License # 57.247348
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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