NPI 1013322494

Matthew Douglass, DO

Practitioner Neonatal-Perinatal Medicine Physician Salt Lake City, UT

Practice location

Address: 50 N Medical Dr, Salt Lake City, UT 84132-5524
Phone: (402) 559-6329
Mailing address: 295 S Chipeta Way, Salt Lake City, UT 84108-1287

Registered specialties

Neonatal-Perinatal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080N0001X Licence 10341688-1204 (UT)

Other Pediatrics providers in Utah →

Registry record

NPI: 1013322494
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jun 2014
Record last updated: 20 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.