Provider Demographics
NPI:1386755221
Name:MCALLISTER, DOUGLAS B (MD)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:B
Last Name:MCALLISTER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3340 NORTH CENTER ST
Mailing Address - Street 2:#800
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-7406
Mailing Address - Country:US
Mailing Address - Phone:801-990-1911
Mailing Address - Fax:801-990-1912
Practice Address - Street 1:9660 SOUTH 1300 EAST
Practice Address - Street 2:ALTA VIEW HOSPITAL
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84094
Practice Address - Country:US
Practice Address - Phone:801-501-2600
Practice Address - Fax:801-733-5618
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2012-10-15
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Provider Licenses
StateLicense IDTaxonomies
UT85173558-1205207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT53255OtherHEALTHY U
UT107005529101OtherIHC
UT19943OtherDESERET MUTUAL
UT2090168OtherUNITED HEALTHCARE
UT8597445OtherWORKERS COMP
NV0022085847Medicaid
UT870545614MC2OtherEDUCATORS MUTUAL
UTQM0000075886OtherALTIUS
UT37805OtherPEHP
ID001556800Medicaid
AZ820242Medicaid
UTPRA02124OtherMOLINA
WY104800700Medicaid
UT8597445OtherWORKERS COMP
UT19943OtherDESERET MUTUAL
NV0022085847Medicaid