Individual
MR. DAWSON VIDALETO CROXALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
175 N HAROLD ST APT 433, SALT LAKE CITY, UT 84116-3393
(801) 793-5789
Mailing address
365 W PAXTON AVE UNIT 414, SALT LAKE CITY, UT 84101-3264
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86277405
UT
Other
Enumeration date
01/16/2023
Last updated
06/20/2023
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