LANCE DUSTIN ROBERT

DRAPER, UT
NPI1578852174
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  8380171-1204)
Enumeration Date2011-04-04
Last Update Date2016-02-04
Business Address
-- LANCE DUSTIN ROBERT DO
12473 S MINUTEMAN DR
DRAPER, UT 84020-7870
Phone number: 801-495-7900
Mailing Address
-- LANCE DUSTIN ROBERT DO
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-495-7900
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