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Individual

DENNIS TUCKER HARSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10421 S JORDAN GTWY STE 400, SOUTH JORDAN, UT 84095-3918
(801) 933-3522
(801) 933-3017
Mailing address
10421 S JORDAN GTWY STE 400, SOUTH JORDAN, UT 84095-3918
(801) 933-3522
(801) 933-3017

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1604401205
UT

Other

Enumeration date
05/06/2008
Last updated
05/17/2011
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