Individual
DR. DREW HOWARD VAN BOERUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5848 S 300 E, MURRAY, UT 84107-6121
(801) 314-4900
(801) 314-4919
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 314-4900
(801) 314-4919
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3641301205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
942854057005
—
UT
Enumeration date
06/03/2006
Last updated
06/26/2009
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