Individual
DR. DALLIN A. HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 628-9535
Mailing address
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1287
(801) 628-9535
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
7245426-1205
UT
Other
Enumeration date
04/04/2019
Last updated
03/23/2022
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