Individual
DR. TIMOTHY ROBERT DANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 E 3900 S, SALT LAKE CITY, UT 84124-1300
(801) 581-2121
Mailing address
3445 E 3020 S, SALT LAKE CITY, UT 84109-4219
(801) 463-4863
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
7470020-1205
UT
207R00000X
Internal Medicine Physician
39
UT
Other
Enumeration date
01/28/2009
Last updated
04/26/2016
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