Individual
DR. DAVID PETRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7109
Mailing address
PO BOX 413067, SALT LAKE CITY, UT 84141-3067
(801) 581-3998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
183156-1205
UT
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
183156-1205
UT
Other
Enumeration date
10/17/2006
Last updated
11/18/2021
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