DR. Frederick L. Datz, M.D.
NPI #1861668105 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1861668105
- Entity Type
- Individual
- Name
- DR. Frederick L. Datz, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- M.D.
- Enumeration Date
- May 6, 2008
- Last Updated
- May 6, 2008
Practice Location
- Address
- 4615 FORTUNA WAY
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84124-4764
- Phone
- (801) 272-0634
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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