Individual
MR. DAVID LEE FURUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
17800 CAMP WILLIAMS RD, RIVERTON, UT 84065-4905
(810) 878-5280
(801) 878-5144
Mailing address
527 WASATCH WAY, TOOELE, UT 84074-9238
(435) 882-0322
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
188545-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65D
ARMY NUMERICAL IDENTIFIER
UT
Enumeration date
01/08/2007
Last updated
07/08/2007
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