Individual
DR. DUSTIN G CHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
380 N 400 W, KAYSVILLE, UT 84037-3135
(801) 773-4840
(801) 525-8151
Mailing address
PO BOX 337, LAYTON, UT 84041-0337
(801) 773-4840
(801) 525-8151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
993753831205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
990177709006
—
UT
Enumeration date
07/11/2006
Last updated
01/05/2016
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