David Laurtiz Jensen D.O.

NPI 1174855159 - Family Medicine - 207Q00000X

NPI Details
NPI 1174855159
Gender Male
Enumeration Date 02/02/2010
Last Updated 06/17/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
576 E HIGHWAY 138
SUITE 400
STANSBURY PARK UT, 84074-4027, US
Phone (435) 843-3647
Fax (435) 775-9272
Business Location
576 E HIGHWAY 138
SUITE 400
STANSBURY PARK UT, 84074-4027, US
Phone (435) 843-3647
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Arizona
License Number 005379
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According to our database, Dr. David Laurtiz Jensen D.O. NPI is 1174855159, taxonomy code is 207Q00000X and license number is 005379, license state is located at Arizona. David Laurtiz Jensen D.O. physically located at 576 E Highway 138, Stansbury Park UT, 84074-4027. NPI Number David Laurtiz Jensen D.O. has the Individual type.

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1174855159 NPI number is provided on an as is basis without warranty of any kind. 1174855159 is maintained by the National Plan & Provider Enumeration System. The contents of David Laurtiz Jensen D.O. are for informational purposes only.