Individual
DALLIN TROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
585 MAIN ST., GREEN RIVER, UT 84525
(435) 564-3434
Mailing address
8401 S CHAMBERS RD, PARKER, CO 80134-9498
(303) 373-2008
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
13793889-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/28/2022
Last updated
08/23/2024
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