Individual
NATHAN W DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
154 MYRTLE AVE, SUITE 201, MURRAY, UT 84107-4833
(801) 743-2909
(801) 288-9505
Mailing address
154 MYRTLE AVE, SUITE 201, MURRAY, UT 84107-4833
(801) 743-2909
(801) 288-9505
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
49208910501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002189004
—
NV
01
—
123401800
US DEPT OF LABOR
UT
01
—
2700110
UNITED HEALTH CARE
UT
01
—
49208910503001
BLUE CROSS BLUE SHIELD
UT
01
—
731650218
COMMERCIAL
UT
01
—
731650218DAV
EDUCATORS MUTUAL
UT
01
—
P00057743
MEDICARE RAILROAD
UT
01
—
QM000061991
ALTUIS
UT
Enumeration date
12/22/2005
Last updated
05/30/2011
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