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Individual

DAULTON DAIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
1020 N 2ND ST, ATCHISON, KS 66002-1402
(636) 487-1160
(636) 487-1160
Mailing address
216 N 7TH ST, ATCHISON, KS 66002-2427
(636) 487-1160

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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