Dave Tien M.D.

NPI 1053319657 - Specialist - 174400000X

NPI Details
NPI 1053319657
Gender Male
Enumeration Date 07/08/2005
Last Updated 06/29/2010
Entity Type Individual
Active Over 12 years ago
Practice Location
650 E 4500 S
SUITE 210
SALT LAKE CITY UT, 84107-2900, US
Phone (801) 288-2634
Fax (801) 288-1186
Business Location
650 E 4500 S
SUITE 210
SALT LAKE CITY UT, 84107-2900, US
Phone (801) 288-2634
Fax (801) 288-1186
Toxanomy
Taxonomy Code 174400000X
License State Utah
License Number 3788925-1205
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According to our database, Dr. Dave Tien M.D. NPI is 1053319657, taxonomy code is 174400000X and license number is 3788925-1205, license state is located at Utah. Dave Tien M.D. physically located at 650 E 4500 S, Salt Lake City UT, 84107-2900. NPI Number Dave Tien M.D. has the Individual type.

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1053319657 NPI number is provided on an as is basis without warranty of any kind. 1053319657 is maintained by the National Plan & Provider Enumeration System. The contents of Dave Tien M.D. are for informational purposes only.