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Individual

DAVID SHEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1050 E SOUTH TEMPLE, SALT LAKE CITY, UT 84102-1507
(801) 350-4111
Mailing address
144 S 500 E, 2ND FLOOR, SALT LAKE CITY, UT 84102-1907

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5924736-1205
UT
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
5924736-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D6492
UT
Enumeration date
04/04/2006
Last updated
05/05/2010
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