David R Dedrickson
Medical Specialty
Professional ID
- NPI: 1144222779
- PECOS ID: 6406813757
- Enrollment ID: I20041217000627
- Credential(MD, DO, DPM): MD
- Medical School: University Of Utah School Of Medicine
- Medical School Graduation Year: 1985
Hospital Service
- Hospital CCN1: 460005
- Business Name (LBN)1: Ogden Regional Medical Center
- Hospital CCN2: 460042
- Business Name (LBN)2: Lakeview Hospital
- Hospital CCN3: 460047
- Business Name (LBN)3: St Marks Hospital
- Hospital CCN4: 460060
- Business Name (LBN)4: Lone Peak Hospital
- Hospital CCN5: 461302
- Business Name (LBN)5: Moab Regional Hospital
Medical Practices
- Organization Name: Utah Imaging Associates Inc
- Group Practice ID assigned by PECOS: 1355394537
- Number of Group Practice member: 36
Location
- Address1: 380 N 200 W
- Address2: Suite 209
- City: Bountiful
- State: Utah
- Zip Code: 84010
- Phone Number: (801)298-1300
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):