Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 324239-1205 | UT |
N | 207R00000X | Internist | 23698 | NE |
N | 111NI0900X | Internist | 23698 | NE |
NPI | 1346324761 |
---|---|
Provider Name | Douglas Harry Jones |
First Address | Layton, UT 84041-0337 |
Second Address | Layton, UT 84041-8803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 08/09/2016 |