Provider Demographics
NPI:1255541785
Name:MASSINOPLE, DAVID SAMUEL (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SAMUEL
Last Name:MASSINOPLE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5979 S FASHION BLVD
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-7364
Mailing Address - Country:US
Mailing Address - Phone:801-263-2370
Mailing Address - Fax:801-265-1200
Practice Address - Street 1:3570 W 9000 S STE 110
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-8870
Practice Address - Country:US
Practice Address - Phone:801-263-2370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT6911255-1205207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease