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Individual

DAVID L BADHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
557 W 2600 S, BOUNTIFUL, UT 84010-7717
(801) 296-5805
(801) 298-9156
Mailing address
557 W 2600 S, BOUNTIFUL, UT 84010-7717
(801) 296-5805
(801) 298-9156

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100964-1206
UT

Other

Enumeration date
06/14/2012
Last updated
07/09/2013
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