person
Nathan W Davis, DPM
Foot & Ankle Surgery Podiatrist in Murray, Utah
NPI 1730165572

Nathan W Davis is a Foot & Ankle Surgery Podiatrist based in Murray, UT and is specialized in Foot & Ankle Surgery. Nathan W Davis practices in Murray, UT and has the professional credentials of DPM. The NPI Number for Nathan W Davis is 1730165572 and holds a License No. 49208910501 (Utah).

The current practice location address for Nathan W Davis 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, 84107-4833
person
Provider Profile Details
NPI Number
1730165572
Provider Name
Nathan W Davis
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
154 Myrtle Ave, Murray, UT, 84107-4833
Phone Number
801-743-2909
Fax Number
801-288-9505
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
123401800 01 UT US DEPT OF LABOR
49208910503001 01 UT BLUE CROSS BLUE SHIELD
QM000061991 01 UT ALTUIS
2700110 01 UT UNITED HEALTH CARE
002189004 05 NV
P00057743 01 UT MEDICARE RAILROAD
731650218 01 UT COMMERCIAL
731650218DAV 01 UT EDUCATORS MUTUAL
institution
Provider Business Practice Location Address Details
Address
154 Myrtle Ave
City
State
Zip
84107-4833
Phone Number
801-743-2909
Fax Number
801-288-9505
person
Provider Business Mailing Address Details
Address
154 Myrtle Ave
City
State
Zip
84107-4833
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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