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Contact Information

MATTHEW DOUGLASS, DO
50 N MEDICAL DR
SALT LAKE CITY, UT84132-5524
 Phone: 402-559-6329
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MATTHEW DOUGLASS · (Male)

NPI # 1013322494
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/24/2014
Last updated 10/20/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 10341688-1204
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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