Doctor Name: | DAVID ELDEN SCHOW |
NPI Number: | 1033238209 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A.-C |
License Number: | 49715441206 |
Business Practice Address: | 440 Medical Dr Bountiful, UT - 840104950 |
Business Phone Number: | 8012989100 |
Business Fax Number: | 8012982238 |
Mailing Address: | 440 Medical Dr, BOUNTIFUL |
State: | UT |
Postal Code: | 840104950 |
Phone Number: | 8012989100 |
Fax Number: | 8012982238 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 49715441206 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |