Individual
DR. DAVID RUBIN SANDWEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-8411
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6217035-1205
UT
208000000X
Pediatrics Physician
MD424002
PA
208M00000X
Hospitalist Physician
6217035-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6217035-1205
UT MEDICAL LICENSE
UT
01
—
MD424002
MED LIC NUMBER
PA
Enumeration date
08/15/2005
Last updated
10/26/2023
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