Dr. Douglas Clark Flegal
Radiology Foot & Ankle Surgery Primary Podiatric Medicine
740 E 3900 S Suite 108
Salt Lake City
, Utah 84107-2181
Dr. Douglas Clark Flegal
Radiology Foot & Ankle Surgery Primary Podiatric Medicine
740 E 3900 S Suite 108
Salt Lake City
, Utah 84107-2181
(801) 266-5633
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About
Features
Specialties
- Primary Podiatric Medicine
- Radiology
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Douglas Clark Flegal
- 740 E 3900 S Suite 108
- Salt Lake City, UT
- Zip : 84107-2181
- Fax : (801) 266-5633
- Phone : (801) 266-3113
Second Address
- Dr. Douglas Clark Flegal
- 740 E 3900 S Suite 108
- Salt Lake City, UT
- Zip : 84107-2181
- Fax : (801) 266-5633
- Phone : (801) 266-3113
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213EP1101X | Primary Podiatric Medicine | 102232-0501 | UT |
| N | 111NR0200X | Radiology | 102232-0501 | UT |
| N | 213ER0200X | Radiology | 102232-0501 | UT |
| Y | 213ES0103X | Foot & Ankle Surgery | 102232-0501 | UT |
National Provider Identifier
| NPI | 1063680668 |
|---|---|
| Provider Name | Dr. Douglas Clark Flegal |
| First Address | Salt Lake City, UT 84107-2181 |
| Second Address | Salt Lake City, UT 84107-2181 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/02/2008 |
| Last Update Date | 28/08/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T77918 | (02) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.