Individual
JOSEPH DAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
164 S 5TH ST, MONTPELIER, ID 83254-1557
(208) 847-4359
Mailing address
164 S 5TH ST, MONTPELIER, ID 83254-1557
(208) 847-4359
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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