IndividualActive
Douglas Ross, MD
NPI 1780690198 · Pulmonary Disease Physician · Provo, UT
Provider details
- NPI number
- 1780690198
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 1757491205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1055 N 300 W
#500
Provo, UT 84604-3344
Phone: (801) 357-7291
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2010-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.