Individual
MR. DAVID AARON NYDEGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
54 N 800 W, SALT LAKE CITY, UT 84116-3326
(208) 359-0901
(208) 359-0928
Mailing address
390 N MAIN, BOUNTIFUL, UT 84010
(208) 359-0901
(208) 359-0928
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5710346-1206
UT
363A00000X
Physician Assistant
PA-541
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807155200
—
ID
Enumeration date
06/11/2006
Last updated
04/17/2015
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