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1861668105
FREDERICK L. DATZ
SALT LAKE CITY, UT
NPI
1861668105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: UT 165352-1205)
Enumeration Date
2008-05-06
Last Update Date
2008-05-06
Business Address
Dr. FREDERICK L. DATZ M.D.
4615 FORTUNA WAY
SALT LAKE CITY, UT 84124-4764
Phone number: 801-272-0634
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Mailing Address
Dr. FREDERICK L. DATZ M.D.
4615 FORTUNA WAY
SALT LAKE CITY, UT 84124-4764
Phone number: 801-272-0634
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