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David M Gontrum

  • Male

Medical Specialty

Professional ID

  • NPI: 1922084813
  • PECOS ID: 4082624804
  • Enrollment ID: I20091113000185
  • Credential(MD, DO, DPM):
  • Medical School: Oregon Health Sciences University School Of Medicine
  • Medical School Graduation Year: 1996

Medical Practices

  • Organization Name: Community Health Centers Inc
  • Group Practice ID assigned by PECOS: 5991698169
  • Number of Group Practice member: 19

Location

  • Address1: 4745 S 3200
  • Address2: Oquirrh View Clinic
  • City: Salt Lake City
  • State: Utah
  • Zip Code: 84118
  • Phone Number: (801)964-6214

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):