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Individual

DAVID G TIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1954 FORT UNION BLVD STE 114, SALT LAKE CITY, UT 84121-6899
(800) 594-5736
Mailing address
1954 FORT UNION BLVD STE 114, SALT LAKE CITY, UT 84121-6899
(800) 594-5736

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
165168-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107006239104
IHC
UT
01
36121
DESERET MUTUAL
UT
01
614
HEALTHY U
UT
01
66106
PEHP
UT
01
QM0000054865
ALTIUS
UT
01
TPRA06833
MOLINA
UT
Enumeration date
09/17/2006
Last updated
09/24/2007
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