Organization
DAVID R BOETTGER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R BOETTGER MD (MD AND OWNER)
(801) 572-6700
Entity
Organization
Contact information
Practice address
9720 S 1300 E, SANDY, UT 84094-3712
(801) 572-6700
(801) 571-0081
Mailing address
9720 S 1300 E, SANDY, UT 84094-3712
(801) 572-6700
(801) 571-0081
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
172331-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254761047064
—
UT
Enumeration date
11/18/2016
Last updated
12/16/2016
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