Organization
DAVIDSON ORTHOPEDICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH DAVIDSON (MANAGER)
(435) 729-9200
Entity
Organization
Contact information
Practice address
6360 S 3000 E, SUITE 200, SALT LAKE CITY, UT 84121-6923
(801) 797-8000
Mailing address
15 NORMANS WAY, PARK CITY, UT 84060-6895
(435) 729-9200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
70109741205
UT
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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