Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 1867341205 | UT |
NPI | 1053350132 |
---|---|
Provider Name | Dr. David Parker Hill |
First Address | Salt Lake City, UT 84127-0128 |
Second Address | Salt Lake City, UT 84105-3208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 26/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
942854257090 | (05) | UT |
F18602 | (02) | UT |