Individual
MR. DAVID B LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCMMT
Contact information
Practice address
6884 REDWOOD RD, WEST JORDAN, UT 84084-2405
(801) 495-4490
(801) 495-4493
Mailing address
952 BLOOMSBURY CV, MURRAY, UT 84123-7605
(801) 261-1672
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5567738-4701
UT
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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