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Individual
DAVID GORDON AFFLECK
Active
Individual
DAVID GORDON AFFLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
346120-1206
UT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
24469
ND
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
3461201205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134332141
TAX IDENTIFICATION
UT
05
—
D5506
—
UT
01
—
P00424176
RR MEDICARE
UT
05
—
PENDING
—
ND
Enumeration date
08/17/2005
Last updated
05/22/2026
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