Individual
DAYTON FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
513 N MAIN ST, HEBER CITY, UT 84032-1214
(435) 654-4525
(435) 654-4138
Mailing address
PO BOX 747, HEBER CITY, UT 84032-0747
(435) 654-4525
(435) 654-4138
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
9049002-2401
UT
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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