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DAVID D. POOR NPI 1093990012


NPI Information

NPI: 1093990012
Provider Name: DAVID D. POOR

Former Legal Business Name: HERRIMAN FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5746 W 13400 S
HERRIMAN, UT
ZIP 84096
Phone: (801) 253-4001
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DAVID D. POOR is a family medicine in Herriman, UT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DAVID D. POOR NPI is 1093990012. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Herriman Family Medicine.

The provider's business location address is:

5746 W 13400 S
HERRIMAN, UT
ZIP 84096-907
Phone: (801) 253-4001
Fax: (801) 253-4003

The provider's authorized official is Michael J Peterson .
The authorized official title is Owner/physician and has the following contact phone number (801) 253-4001.

The enumeration date for this NPI number is 1/9/2008 and was last updated on 1/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine5684661-1205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1547614559002MEDICAIDUTAH
2I26275MEDICARE UPINUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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