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1922084813
DAVID MORTIN GONTRUM
SALT LAKE CITY, UT
NPI
1922084813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 350320-1205)
Enumeration Date
2005-12-21
Last Update Date
2011-11-07
Business Address
DR. DAVID MORTIN GONTRUM M.D.
4745 S 3200 W
SALT LAKE CITY, UT 84118-2822
Phone number: 801-964-6214
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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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