Healthcare Provider Details

I. General information

NPI: 1346351632
Provider Name (Legal Business Name): K. DUFF YAUNEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N MEDICAL DR
SALT LAKE CITY UT
84113-1103
US

IV. Provider business mailing address

1954 FORT UNION BLVD 111
SALT LAKE CITY UT
84121-6800
US

V. Phone/Fax

Practice location:
  • Phone: 801-588-3272
  • Fax: 801-588-3279
Mailing address:
  • Phone: 801-993-9551
  • Fax: 801-733-5872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number287349-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: