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Individual

DR. DAVID E PISANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5444 S GREEN ST, MURRAY, UT 84123-5632
(801) 262-2647
(801) 262-3897
Mailing address
5444 S GREEN ST, MURRAY, UT 84123-5632
(801) 262-8120
(801) 262-5721

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
183512-1205
UT
2085R0202X
Diagnostic Radiology Physician
M-8436
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D0505
UT
Enumeration date
06/07/2006
Last updated
01/17/2013
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