Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD R DOUGLAS, D.O.
Active Sole ProprietorDR. EDWARD R DOUGLAS, D.O. is a Electrodiagnostic Medicine healthcare provider located in SPRINGFIELD, Missouri. NPI 1467452813 is currently active in the NPPES registry. Verify at CMS.
Electrodiagnostic Medicine · SPRINGFIELD, MO
Registration Details
- NPI Number
- 1467452813
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2005 (21.067080174029 yrs)
- Last Updated
- Apr 23, 2011
- License
-
2002013903 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3829 S JEFFERSON AVESPRINGFIELD, MO, 658075376Browse MO providers · Browse ZIP 65807
- Phone
- 4178905585
- Fax
- 4178770970
- Primary Specialty
-
Electrodiagnostic Medicine
204D00000X
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.