Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS S LISTER, DPM
Active Sole ProprietorDOUGLAS S LISTER, DPM is a Podiatrist healthcare provider located in PARK CITY, Utah. NPI 1295958312 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · PARK CITY, UT
Registration Details
- NPI Number
- 1295958312
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2007 (19.317451699911 yrs)
- Last Updated
- Oct 15, 2012
- License
-
E41920 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2720 HOMESTEAD ROADSUITE 50PARK CITY, UT, 840984885Browse UT providers · Browse ZIP 84098
- Phone
- 4356040449
- Fax
- 4356499202
- Primary Specialty
-
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.