Daniel Douglas, PA-C

NPI #1073168571 in Fort Carson, Colorado

Provider Information

NPI Number: 1073168571
Entity Type: Individual
Name: Daniel Douglas, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 2, 2019
Last Updated: Aug 2, 2019

Practice Location

Address: EVANS ARMY COMMUNITY HOSPITAL
Address 2: 650 COCHRANE CIRCLE
City: Fort Carson
State: Colorado
ZIP Code: 80913-4604
Phone: (719) 526-2361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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