Monte Douglas, PA-C Valid NPI

Individual provider · Physician Assistant · Jacksonville, AR

NPI

1154736262

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA-547 (AR)

Sex

Male

Sole proprietor

No

Enumerated

2014-06-26

Last updated

2019-04-15