Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 8228386-1205 | UT |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 2011001617 | MO |
NPI | 1346465119 |
---|---|
Provider Name | Dr. David Allan Joos |
First Address | Salt Lake City, UT 84127-0128 |
Second Address | Provo, UT 84604-6124 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2007 |
Last Update Date | 23/09/2021 |