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1144222779
DAVID RAY DEDRICKSON
FARMINGTON, UT
NPI
1144222779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: UT 184965-1205)
Enumeration Date
2005-08-12
Last Update Date
2019-02-19
Business Address
DR. DAVID RAY DEDRICKSON M.D.
1433 N 1075 W STE 104
FARMINGTON, UT 84025-2746
Phone number: 801-298-1300
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Mailing Address
DR. DAVID RAY DEDRICKSON M.D.
PO BOX 25488
SALT LAKE CITY, UT 84125-0488
Phone number: 800-475-3698
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