Individual
DAVID JAY NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 S 1100 E, SUITE 302, SALT LAKE CITY, UT 84102-1500
(801) 531-7806
(801) 355-5566
Mailing address
24 S 1100 E, SUITE 302, SALT LAKE CITY, UT 84102-1500
(801) 531-7806
(801) 355-5566
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6224353-1205
UT
Other
Enumeration date
07/31/2006
Last updated
12/17/2007
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