Individual
DAVID WAYNE GUIDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5121 S COTTONWOOD ST FL 6, MURRAY, UT 84107-5701
(801) 442-4536
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
205351
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
205351
LA
207RP1001X
Pulmonary Disease Physician
205351
LA
207RP1001X
Pulmonary Disease Physician
Primary
7223998-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2314963
—
LA
01
—
BP1-0026178
INSTITUTIONAL PERMIT
—
Enumeration date
05/21/2007
Last updated
10/01/2021
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