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Individual

JOHN B DAME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3448 S 3200 W, WEST VALLEY, UT 84119-2628
(801) 359-2256
Mailing address
660 S 200 E, SLC, UT 84111-3835
(801) 359-2256

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9043685-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1922205947
UT
Enumeration date
07/02/2007
Last updated
01/21/2025
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