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Individual

DANIEL OFFRET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1550 N MAIN ST, LAYTON, UT 84041-1757
(801) 614-9030
(801) 614-9040
Mailing address
1550 N MAIN ST, LAYTON, UT 84041-1757
(801) 614-9030
(801) 614-9040

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
263558-1206
UT
363A00000X
Physician Assistant
PA-452
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
035045
ANTHEM
ME
01
201836
NGS
ME
05
334510099
ME
Enumeration date
03/29/2006
Last updated
10/24/2014
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