Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 10908293-7101 | UT |
NPI | 1013328830 |
---|---|
Provider Name | Dr. Shawn Postma |
First Address | Sandy, UT 84093-6546 |
Second Address | Cottonwood Heights, UT 84121-6932 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2014 |
Last Update Date | 29/12/2018 |