Individual
DR. NATHANIEL DAVID KOFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MSPH
Contact information
Practice address
900 ROUND VALLEY DRIVE, PARK CITY, UT 84060-7532
(435) 658-7000
(801) 990-1912
Mailing address
3340 N CENTER ST, #800, LEHI, UT 84043-7406
(801) 990-1911
(801) 990-1912
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
042-0011896
VT
Other
Enumeration date
04/28/2008
Last updated
12/05/2012
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