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Contact Information

DOUGLAS C FLEGAL, DPM
740 E 3900 S
SUITE 108
SALT LAKE CITY, UT84107-2181
 Phone: 801-266-3113
 Fax: 801-266-5633
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DOUGLAS C FLEGAL · (Male)

NPI Number 1063680668
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 02/15/2008
Last updated 08/28/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 102232-0501
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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