David R Boettger Md Pc

LBN: David R Boettger Md Pc
David R Boettger Md Pc is an health care organization with primary practice located at 9720 S 1300 E , Sandy UT 84094-3712. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. David R Boettger Md Pc can be contacted via phone (801) 572-6700, or through Boettger, David R via phone (801) 572-6700.

Contact Information

Primary practice address
9720 S 1300 E Sandy UT 84094-3712
Phone: (801) 572-6700
Fax: (801) 571-0081
Website:
Map and Directions
Authorized official contact:
Name: Boettger, David R Doctor of Medicine (MD)
Phone: (801) 572-6700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 172331-1205 Utah

Profile Details

NPI number 1700329091
LBN Legal business name David R Boettger Md Pc
DBA Doing business as
Authorized official Boettger, David R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2016
Last updated Dec 16th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700329091 NPPES
Utah MEDICAID 254761047064

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