IndividualActive
Douglas Lister, DPM
NPI 1295958312 · Podiatrist · Park City, UT
Provider details
- NPI number
- 1295958312
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- E41920 (CA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
2720 Homestead Road
Suite 50
Park City, UT 84098-4885
Phone: (435) 604-0449
Fax: (435) 649-9202
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 34120
Reno, NV 89533-4120
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2012-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.