institution
Nathan W Davis Dpm Pc
Foot & Ankle Surgery Podiatrist in Murray, Utah
NPI 1679763494

Nathan W Davis Dpm Pc is a Foot & Ankle Surgery Podiatrist based in Murray, UT and is specialized in Foot & Ankle Surgery. Nathan W Davis Dpm Pc practices in Murray, UT. The NPI Number for Nathan W Davis Dpm Pc is 1679763494 and holds a License No. 49208910501 (Utah).

The current practice location address for Nathan W Davis Dpm Pc is 154 Myrtle Ave, Murray, UT and can be reached out via phone at 801-743-2909 and via fax at 801-288-9505.

Location: 154 Myrtle Ave, Murray, UT, 84107-4849
institution
Provider Profile Details
NPI Number
1679763494
Provider Name
Nathan W Davis Dpm Pc
Credential
Provider Entity Type
Organization
Address
154 Myrtle Ave, Murray, UT, 84107-4849
Phone Number
801-743-2909
Fax Number
801-288-9505
Provider Enumeration Date
07/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002189004 01 UT MEDICAID NEVADA
49208910503001 01 UT BLUE CROSS BLUE SHIELD
2700110 01 UT UNITED HEALTH CARE
418216001 01 UT CIGNA MEDICARE
123401800 01 UT US DEPT OF LABOR
528271194007 05 UT
P00057743 01 UT RAILROAD MEDICARE
QM000061991 01 UT ALTIUS
institution
Provider Business Practice Location Address Details
Address
154 Myrtle Ave
City
State
Zip
84107-4849
Phone Number
801-743-2909
Fax Number
801-288-9505
person
Provider Business Mailing Address Details
Address
154 Myrtle Ave
City
State
Zip
84107-4849
Phone Number
801-743-2909
Fax Number
801-288-9505
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
49208910501 (Utah)
Definition
Definition to come...
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