Thomas G Douglas, NP
NPI #1851686182 in Mount Vernon, Missouri
Provider Information
- NPI Number
- 1851686182
- Entity Type
- Individual
- Name
- Thomas G Douglas, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Jun 15, 2011
- Last Updated
- Jun 15, 2011
Practice Location
- Address
- 108 S HICKORY ST
- City
- Mount Vernon
- State
- Missouri
- ZIP Code
- 65712-1407
- Phone
- (417) 466-4110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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