Individual
DAVID WAYNE FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4400 S 700 E, STE 200, SALT LAKE CITY, UT 84107-3000
(801) 264-4444
(801) 281-2383
Mailing address
4400 S 700 E, STE 200, SALT LAKE CITY, UT 84107-3000
(801) 264-4444
(801) 281-2383
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
337929-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000101643
—
MT
01
—
107008061101
IHC
UT
05
—
112671700
—
WY
01
—
180029059
RAILROAD MEDICARE
UT
01
—
1846444
CIGNA OPEN ACCESS PLUS
UT
01
—
307586
BCBS OF WY
WY
01
—
37854
PEHP
UT
01
—
87-0302621
GEHA
UT
Enumeration date
05/27/2005
Last updated
11/26/2024
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