Douglas Lamar Fillmore in Provo - Physician Assistant
Douglas Lamar Fillmore - NPI 1447341193
Douglas Lamar Fillmore is a Physician Assistant in Provo, Utah. Douglas Lamar Fillmore practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Douglas Lamar Fillmore is 1447341193. The last update date is 2007-10-15.
Douglas Lamar Fillmore's current location address is 1055 N 500 W, Provo, Utah. You can contact this provider via phone number 8013737350 and fax number 8018125401. The mailing address for Douglas Lamar Fillmore is 1055 N 500 W, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Lamar Fillmore |
|---|---|
| Address | 1055 N 500 W, Provo, Utah |
| Phone Number | 8013737350 |
| Fax Number | 8018125401 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1447341193 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2007-10-15 |
Provider Mailing Address Detail
| Address | 1055 N 500 W |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846043305 |
| Phone Number | 8013737350 |
| Fax Number | 8018125401 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4945215-1205 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 107012276106 | UT | IHC |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Douglas Lamar Fillmore by the Centers for Medicare & Medicaid Services?
The Douglas Lamar Fillmore has been issued the NPI (National Provider Identifier) 1447341193 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Douglas Lamar Fillmore's facilities are geographically located?
The facilities of Douglas Lamar Fillmore are physically situated at the following location: 1055 N 500 W, Provo, UT, 846043305.
What is Douglas Lamar Fillmore's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Douglas Lamar Fillmore is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When was the Douglas Lamar Fillmore's 1447341193 issued?
The Douglas Lamar Fillmore's 1447341193 was issued on 2006-09-27.
As of what date were the Douglas Lamar Fillmore's details last updated?
The information pertaining to the Douglas Lamar Fillmore, including its address, specialty, and other details, was most recently updated on 2007-10-15.
NPI Number: 1215930425
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