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1487117198
EVAN K. DAUGHERTY
SALT LAKE CITY, UT
NPI
1487117198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: UT 11885540-1205)
Enumeration Date
2019-04-09
Last Update Date
2020-08-13
Business Address
EVAN K. DAUGHERTY MD
30 N 1900 E RM 4C116
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-7606
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Mailing Address
EVAN K. DAUGHERTY MD
30 N 1900 E RM 4C116
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-7606
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