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Individual

DAVID A DEBENHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1380 EAST MEDICAL CENTER DRIVE, DIXIE REGIONAL MEDICAL CENTER, ST. GEORGE, UT 84790
(435) 251-1000
(801) 990-1912
Mailing address
3340 NORTH CENTER ST, #800, LEHI, UT 84043-7406
(801) 990-1911
(801) 990-1912

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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