Doctor Name: | TODD WILLIAM FURNESS |
NPI Number: | 1285941310 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 5101019018 |
Business Practice Address: | 11760 S 700 E Ste 111 Draper, UT - 840206604 |
Business Phone Number: | 8015768855 |
Business Fax Number: | 8015769800 |
Mailing Address: | 11760 S 700 E, Ste 111 DRAPER |
State: | UT |
Postal Code: | 840206604 |
Phone Number: | 8015768855 |
Fax Number: | 8015769800 |
NPI Enumeration Date: | 09/10/2010 |
NPI Last Update Date: | 08/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5101019018 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |