DR. FREDERICK L. DATZ M.D. NPI 1861668105

NPI Information

NPI: 1861668105
Provider Name: DR. FREDERICK L. DATZ, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
4615 FORTUNA WAY
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 272-0634
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DR. Frederick L. Datz, M.D. is a specialist in Salt Lake City, UT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Frederick L. Datz, M.D. NPI is 1861668105. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4615 FORTUNA WAY
SALT LAKE CITY, UT
ZIP 84124-764
Phone: (801) 272-0634

The enumeration date for this NPI number is 5/6/2008 and was last updated on 5/6/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		165352-1205	UTAH	Yes

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

NPI Synchronization or Removal

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