Individual
DR. DAVID T MAGNESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
676 S BLUFF ST STE 205, ST GEORGE, UT 84770-3568
(435) 628-5690
(435) 628-5805
Mailing address
676 S BLUFF ST, STE 205, ST GEORGE, UT 84770-3568
(435) 628-5690
(435) 628-5805
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
370449-0501
UT
213E00000X
Podiatrist
9910
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002102792
—
NV
Enumeration date
06/13/2005
Last updated
10/02/2024
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