Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 500519-1205 | UT |
Y | 207QA0401X | Family Doctor - Addiction Medicine | 500519-1205 | UT |
NPI | 1598722340 |
---|---|
Provider Name | David L Aune |
First Address | Salt Lake City, UT 84107-7363 |
Second Address | Salt Lake City, UT 84107-7363 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 11/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
870639098001 | (05) | UT |
G79586 | (02) |