Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David M Fantle, MD

Individual provider Neurology Physician · NPI 1205852613

David M Fantle, MD is a Neurology Physician in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

400 C St
Salt Lake City, UT 84143-1005
Phone: (801) 408-8305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 3344141205 (UT)

Record details

NPI number1205852613
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 15, 2006
Last updated in NPPESMarch 18, 2008
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

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