Provider Demographics
NPI:1447246244
Name:VOSS, WILLIAM DAVID (DO)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DAVID
Last Name:VOSS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 E 400 S
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84663-1977
Mailing Address - Country:US
Mailing Address - Phone:801-491-9355
Mailing Address - Fax:801-491-3000
Practice Address - Street 1:376 E 400 S
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:UT
Practice Address - Zip Code:84663-1977
Practice Address - Country:US
Practice Address - Phone:801-491-9355
Practice Address - Fax:801-491-3000
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-27
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT49398401204207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT1447246244Medicaid
H58550Medicare UPIN
UT1447246244Medicaid