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1811995814
D MICHAEL EDSON
WEST VALLEY CITY, UT
NPI
1811995814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: UT 149562-1205)
Enumeration Date
2005-07-13
Last Update Date
2008-01-21
Business Address
-- D MICHAEL EDSON MD
3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120-2049
Phone number: 801-964-3100
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Mailing Address
-- D MICHAEL EDSON MD
PO BOX 1169
BOUNTIFUL, UT 84011-1169
Phone number: 801-296-2113
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