SearchUtah101YM0800X

David Quackenbush, CPCI

NPI 1861718868 · on the registry since 2010 · sole proprietor

Practice

Address
1140 36th Street Tristan Inc.
Ste 202
Ogden, UT 84403
Phone
(801) 392-0004
Fax
(801) 392-2618

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-04-15

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