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Individual

DAVID ROBERT BOETTGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9720 S 1300 E, W120, SANDY, UT 84094-3712
(801) 572-6700
(801) 572-6700
Mailing address
6333 CRESTMOUNT CIR, SALT LAKE CITY, UT 84121-6350
(801) 572-6700
(801) 572-6700

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1723311205
TX

Other

Enumeration date
06/07/2006
Last updated
05/31/2011
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