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DOUGLAS FILLMORE, PA
PA
Physician Assistant
NPI: 1447341193IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
4945215-1205(UT)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2001
Contact & Hours
- Address
- 1055 N 500 W, STE 121
PROVO, UT 84604 - Phone
- (801) 373-7350
Quick Facts
- NPI
- 1447341193
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 25
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