Individual
DAULTON DAIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
24-01252
KS
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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