Individual
DR. PAUL MARK DAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
485 N MAIN ST, LOGAN, UT 84321-3932
(435) 753-4327
(435) 213-9754
Mailing address
485 N MAIN ST, LOGAN, UT 84321-3932
(435) 753-4327
(435) 213-9754
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
7447284-4101
UT
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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