Douglas S Lister, DPM
Douglas S Lister, DPM is a Podiatry in Park City, Utah. Graduated from California School of Podiatric Medicine in 1993, 33 years ago. Practices with Mendocino Coast Clinics, Inc, a 20-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 33
- Trained at
- California School of Podiatric Medicine
- Licensed in
- CA
- In the registry since
- 2007
What do these letters mean?
- DPM — Doctor of Podiatric Medicine
- A foot and ankle physician and surgeon.
Practice location Address checks out
2720 Homestead Rd Ste 50Park City, UT 84098-4885
Phone: (435) 604-0449
Fax: (435) 649-9202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X · Licence E41920 (CA) |
|---|
Record details
| NPI number | 1295958312 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPM |
| Sole proprietor | Yes |
| NPI enumerated | April 10, 2007 |
| Last updated in NPPES | October 15, 2012 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | CALIFORNIA SCHOOL OF PODIATRIC MEDICINE |
| Graduated | 1993 (33 years in practice) |
| Group practice | Mendocino Coast Clinics, Inc — 20 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Park City
-
Ellsworth Foot and Ankle
1678 Bonanza Dr, Park City, UT 84060-7201 · (801) 253-6886
-
Utah Podiatry Group LLC
1840 Sun Peak Dr, Park City, UT 84098-6732 · (801) 505-5277