Provider Demographics
NPI:1477649457
Name:LIND, DAVID G (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:G
Last Name:LIND
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3340 NORTH CENTER ST
Mailing Address - Street 2:#800
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-7406
Mailing Address - Country:US
Mailing Address - Phone:801-990-1911
Mailing Address - Fax:801-990-1912
Practice Address - Street 1:1034 NORTH 500 WEST
Practice Address - Street 2:UTAH VALLEY REGIONAL MEDICAL CENTER
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604
Practice Address - Country:US
Practice Address - Phone:801-507-5248
Practice Address - Fax:801-733-5618
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2012-10-15
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Provider Licenses
StateLicense IDTaxonomies
UT78-163142-1205207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT2090168OtherUNITED HEALTHCARE
UT53252OtherHEALTHY U
UT8705456614LI1OtherEDUCATORS MUTUAL
ID806155600Medicaid
AZ820226Medicaid
UT37802OtherPEHP
UT107006669101OtherIHC
UT8597445OtherWORKERS COMP
WY117498300Medicaid
UT1502954OtherUMWA
UTQM0000075886OtherALTIUS
NV100501253Medicaid
UT36707OtherDESERET MUTUAL
UTPRA02913OtherMOLINA
ID806155600Medicaid
UTPRA02913OtherMOLINA
NV100501253Medicaid