MEDICARE: DR. BENJAMIN DAVID CURTIS 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
1	207X00000X	Orthopaedic Surgery Physician	6837809-1205	UT

General Provider Information

NPI Number	:	1124299714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN DAVID CURTIS M.D.

Provider Business Mailing Address
First Line	:	1990 E BROWNING AVE
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108-2274
Country	:	US
Telephone Number	:	801-979-7062
Fax Number	:

Provider Business Practice Location Address
First Line	:	1160 E 3900 S STE 4050
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-1264
Country	:	US
Telephone Number	:	801-262-8486
Fax Number	:	801-284-8699

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2008
Last Update Date	:	09/25/2023

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