SearchMissouriPhysician Assistant

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 System
Inferred 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