SearchUtah174400000X

Frederick Datz, M.D

NPI 1861668105 · on the registry since 2008 · sole proprietor

Practice

Address
4615 Fortuna Way
Salt Lake City, UT 84124
Phone
(801) 272-0634

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah