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David Douglas, P.A.C
NPI 1396760476 · on the registry since 2006
Practice
- Address
- 755 Cowan Dr
Lebanon, MO 65536 - Phone
- (417) 532-2805
- Fax
- (417) 532-2865
- Organisation at this address
- Lake Regional Health System
Lake Regional Health SystemInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Additional practice sites
- 904 S Pine St, Richland, MO
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri