Healthcare Provider Details

I. General information

NPI: 1447273024
Provider Name (Legal Business Name): DAVID BIERER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 08/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 EAST 6000 SOUTH
SOUTH OGDEN UT
84405
US

IV. Provider business mailing address

1525 EAST 6000 SOUTH
SOUTH OGDEN UT
84405
US

V. Phone/Fax

Practice location:
  • Phone: 801-337-5800
  • Fax: 801-337-5809
Mailing address:
  • Phone: 801-337-5800
  • Fax: 801-337-5809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number3461151205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: