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

Dr. Frederick L. Datz, MD

Individual provider Specialist · NPI 1861668105

Dr. Frederick L. Datz, MD is a Specialist in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4615 Fortuna Way
Salt Lake City, UT 84124-4764
Phone: (801) 272-0634
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 165352-1205 (UT)

Record details

NPI number1861668105
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 6, 2008
Last updated in NPPESMay 6, 2008

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