Individual
TRUMAN DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84112-5888
(915) 269-6040
Mailing address
130 S 900 E APT 107, SALT LAKE CITY, UT 84102-4157
(915) 269-6040
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0812871170
—
UT
Enumeration date
01/19/2023
Last updated
01/19/2023
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