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Individual
DAVID A DEBENHAM
Active
Individual
DAVID A DEBENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
184722-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002088120
—
NV
05
—
066812002
—
AZ
01
—
107005903103
IHC
UT
05
—
118909300
—
WY
01
—
2090168
UNITED HEALTHCARE
UT
01
—
24592
DESERET MUTUAL
UT
01
—
52858
HEALTHY U
UT
01
—
71443
PEHP
UT
05
—
806392300
—
ID
01
—
870545614DEB
EDUCATORS MUTUAL
UT
01
—
PRA02634
MOLINA
UT
01
—
QM0000075886
ALTIUS
UT
Enumeration date
10/16/2006
Last updated
10/15/2012
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