Individual
DR. TRACI L. DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
650 S KOMAS DR STE 200, SALT LAKE CITY, UT 84108-1241
(801) 585-3828
Mailing address
PO BOX 413076, SALT LAKE CITY, UT 84141-3076
(801) 213-3900
(801) 585-3655
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
179001-1205
UT
Other
Enumeration date
02/02/2007
Last updated
12/19/2013
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