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Daniel Ezekiel Bestourous

NPI Registration Record

Provider / OrganizationNPIDate Certified
DANIEL EZEKIEL BESTOUROUS19428894492021-04-03

Daniel Ezekiel Bestourous is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1942889449. Registration indicates Daniel Ezekiel Bestourous is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)

Entity TypeIndividual
Provider Name Daniel Ezekiel Bestourous
Practice Office Address50 NORTH MEDICAL DR SOM 3C120
SALT LAKE CITY, UT US
Practice Office Telephone8015817514
Mailing Address50 NORTH MEDICAL DRIVE SOM 3C120
SALT LAKE CITY, UT 841320001 US
Business Telephone8015817514
HPT Codes
CodePractice
License No
State
390200000X PRIMARY
Student, Health Care
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program

All Other Specialties & Provider Types

Student in an Organized Health Care Education/Training Program
Student, Health Care
OPI Codes

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