Individual
DAVID LAWRENCE DEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1100 S MEDICAL DR, MT PLEASANT, UT 84647-2222
(435) 462-3471
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 462-3471
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
8469216-1206
UT
363AM0700X
Medical Physician Assistant
PA654
NV
Other
Enumeration date
07/17/2006
Last updated
08/19/2013
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