DAVID M FANTLE

SALT LAKE CITY, UT
NPI1205852613
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: UT  3344141205)
Enumeration Date2006-07-15
Last Update Date2008-03-18
Business Address
-- DAVID M FANTLE MD
400 C ST
SALT LAKE CITY, UT 84143-1005
Phone number: 801-408-8305
Mailing Address
-- DAVID M FANTLE MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-408-8305
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