Individual
DAVID M DANSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1900
(801) 662-1810
Mailing address
869 E 4500 S, PMB 511, SALT LAKE CITY, UT 84107-3049
(801) 487-0451
(801) 487-2467
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
4839630-1205
UT
2085R0202X
Diagnostic Radiology Physician
44948
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21295805602
BEECHSTREET
UT
01
—
48396301200001
BLUE CROSS BLUE SHIELD
UT
01
—
7801302
AETNA
UT
01
—
7954833
CIGNA
UT
01
—
94139
PUBLIC EMPLOYEES HEALTH P
UT
01
—
A022
TRICARE
UT
01
—
IDX035672
UHN
UT
Enumeration date
12/19/2005
Last updated
08/23/2023
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