Individual provider · Type 1 NPI
David Ray Dedrickson, MD
Diagnostic Radiology Physician · Farmington, UT
NPI number
1144222779
Active
Practice location
1433 N 1075 W, Ste 104
Farmington, UT 84025-2746
Fax (801) 296-6199
Mailing address
PO Box 25488
Salt Lake City, UT 84125-0488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 184965-1205 (UT) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2 other providers at this address
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About NPI 1144222779
David Ray Dedrickson, MD's National Provider Identifier is 1144222779, issued on Aug 12, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Farmington, UT. The record was last updated on Feb 19, 2019.