DAVID MORTIN GONTRUM

SALT LAKE CITY, UT
NPI1922084813
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  350320-1205)
Enumeration Date2005-12-21
Last Update Date2011-11-07
Business Address
Dr. DAVID MORTIN GONTRUM M.D.
4745 S 3200 W
SALT LAKE CITY, UT 84118-2822
Phone number: 801-964-6214
Mailing Address
Dr. DAVID MORTIN GONTRUM M.D.
1082 LAKE ST
SALT LAKE CITY, UT 84105-1261
Phone number: 801-537-1642
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