Douglas R Hyldahl MD

NPI 1083624555 - Family Medicine - 207Q00000X

NPI Details
NPI 1083624555
Gender Male
Enumeration Date 08/08/2006
Last Updated 03/01/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
412 N 200 E
LOGAN UT, 84321-4038, US
Phone (435) 713-2800
Fax
Business Location
412 N 200 E
LOGAN UT, 84321-4038, US
Phone (435) 713-2800
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Utah
License Number 1640051205
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According to our database, Douglas R Hyldahl MD NPI is 1083624555, taxonomy code is 207Q00000X and license number is 1640051205, license state is located at Utah. Douglas R Hyldahl MD physically located at 412 N 200 E, Logan UT, 84321-4038. NPI Number Douglas R Hyldahl MD has the Individual type.

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1083624555 NPI number is provided on an as is basis without warranty of any kind. 1083624555 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas R Hyldahl MD are for informational purposes only.