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1790921344
DAVID ERIC PONTIOUS
SALT LAKE CITY, UT
NPI
1790921344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 3604841206)
Enumeration Date
2009-01-05
Last Update Date
2009-01-05
Business Address
Mr. DAVID ERIC PONTIOUS M.P.A.S., P.A.C
3655 S STATE ST
SALT LAKE CITY, UT 84115-4827
Phone number: 801-293-3100
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Mailing Address
Mr. DAVID ERIC PONTIOUS M.P.A.S., P.A.C
3655 S STATE ST
SALT LAKE CITY, UT 84115-4827
Phone number: 801-293-3100
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