David Gordon Affleck in Salt Lake City - Vascular Surgery
David Gordon Affleck - NPI 1710979653
David Gordon Affleck is a Vascular Surgery in Salt Lake City, Utah. David Gordon Affleck practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for David Gordon Affleck is 1710979653. The last update date is 2022-01-26.
David Gordon Affleck's current location address is 1160 E 3900 S, Salt Lake City, Utah. You can contact this provider via phone number 8017434750 and fax number 8017434765. The mailing address for David Gordon Affleck is 1160 E 3900 S, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Gordon Affleck |
|---|---|
| Address | 1160 E 3900 S, Salt Lake City, Utah |
| Phone Number | 8017434750 |
| Fax Number | 8017434765 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1710979653 |
|---|---|
| Provider Enumeration Date | 2005-08-17 |
| Last Updated Date | 2022-01-26 |
Provider Mailing Address Detail
| Address | 1160 E 3900 S |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841241202 |
| Phone Number | 8017434750 |
| Fax Number | 8017434765 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 346120-1206 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D5506 | UT | -- | |
| P00424176 | UT | RR MEDICARE | |
| 134332141 | UT | TAX IDENTIFICATION |
Post Comment/ Review Below
What is the unique identifier code issued to David Gordon Affleck by the Centers for Medicare & Medicaid Services (CMS)?
The David Gordon Affleck has been assigned the NPI (National Provider Identifier) 1710979653. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the David Gordon Affleck located?
The David Gordon Affleck is located at 1160 E 3900 S, Salt Lake City, UT 841241202.
What is David Gordon Affleck's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for David Gordon Affleck is Vascular Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0129X.
On what date did the David Gordon Affleck receive its 1710979653 assignment from the Centers for Medicare & Medicaid Services?
The David Gordon Affleck was assigned its 1710979653 by the Centers for Medicare & Medicaid Services on 2005-08-17.
When was the David Gordon Affleck's information last updated?
The David Gordon Affleck's information was last updated on 2022-01-26.