Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 1596651205 | UT |
NPI | 1578667226 |
---|---|
Provider Name | Mr. David J Howe |
First Address | Salt Lake City, UT 84102-1686 |
Second Address | Salt Lake City, UT 84102-1686 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2006 |
Last Update Date | 18/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D07855 | (02) | UT |