Healthcare Provider Details

I. General information

NPI: 1598722340
Provider Name (Legal Business Name): DAVID L AUNE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 07/21/2022
Certification Date: 04/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 E 5900 S STE A108
SALT LAKE CITY UT
84107-7363
US

IV. Provider business mailing address

164 E 5900 S STE A108
SALT LAKE CITY UT
84107-7363
US

V. Phone/Fax

Practice location:
  • Phone: 385-347-5935
  • Fax: 801-606-2858
Mailing address:
  • Phone: 385-347-5935
  • Fax: 801-606-2858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number500519-1205
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number500519-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: