David, Traci L.

David, Traci L. is an individual health care provider with primary practice located at 650 S Komas Dr Ste 200 , Salt Lake City UT 84108-1241. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. David, Traci L. can be contacted via phone (801) 585-3828.

Contact Information

Primary practice address
650 S Komas Dr Ste 200 Salt Lake City UT 84108-1241
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 179001-1205 Utah

Profile Details

NPI number 1437297272
LBN Legal business name David, Traci L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Dec 19th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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