IndividualActive
Matthew Douglass, DO
NPI 1013322494 · Neonatal-Perinatal Medicine Physician · Salt Lake City, UT
Provider details
- NPI number
- 1013322494
- Entity type
- Individual
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10341688-1204 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
50 N Medical Dr
Salt Lake City, UT 84132-5524
Phone: (402) 559-6329
Approximate (ZIP-level) locationGet directions
Mailing address
295 S Chipeta Way
Salt Lake City, UT 84108-1287
Additional practice locations (2)
- 5121 S Cottonwood StMurray, UT 84107-5701Phone: (801) 507-7000
- 100 N Mario Capecchi DrSalt Lake City, UT 84113-1103Phone: (801) 662-1000
Registry dates
- Enumerated
- 2014-06-24
- Last updated
- 2021-10-20
- Certified
- 2021-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.