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NPI Code Detail

MEDICARE: DAVID J SHASKEY M.D.

MEDICARE: DAVID J SHASKEY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician181318-1205UT
2207R00000XInternal Medicine Physician181318-1205UT
3207RR0500XRheumatology Physician181318-1205UT
4207RS0010XSports Medicine (Internal Medicine) Physician181318-1205UT

General Provider Information

NPI Number : 1033220603
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID J SHASKEY M.D.
Provider Business Mailing Address
First Line : 1160 E 3900 S #1000
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84124-1233
Country : US
Telephone Number : 801-262-1771
Fax Number : 801-288-9101
Provider Business Practice Location Address
First Line : 1160 E 3900 S #1000
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84124-1233
Country : US
Telephone Number : 801-262-1771
Fax Number : 801-288-9101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 10/15/2007

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Directions to “ DAVID J SHASKEY M.D.” Practice Location

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