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1194387571
NATHANIEL A PTAK
MURRAY, UT
NPI
1194387571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery
(Licence: UT 12366058-0501)
Enumeration Date
2019-07-05
Last Update Date
2021-07-20
Business Address
NATHANIEL A PTAK
5121 S COTTONWOOD ST
MURRAY, UT 84107-5701
Phone number: 801-507-7000
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Mailing Address
NATHANIEL A PTAK
5121 S COTTONWOOD ST
MURRAY, UT 84107-5701
Phone number: 630-464-7825
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