Individual
DALTON TANNER PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1433 W A ST, MOSCOW, ID 83843-3274
(626) 862-0430
Mailing address
860 N REEDER AVE, COVINA, CA 91724-2644
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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