Individual
COREY DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1250 E 3900 S STE 440, SALT LAKE CITY, UT 84124-1349
(801) 869-4100
(801) 869-4119
Mailing address
926 SHEPARD CHURCH DR, FARMINGTON, UT 84025-2837
(801) 510-8140
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8554567-1206
UT
363A00000X
Physician Assistant
—
WY
Other
Enumeration date
08/22/2012
Last updated
04/26/2026
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