Individual
DALLIN BLAKE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-5650
(801) 387-5655
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10806171-3102
UT
363L00000X
Nurse Practitioner
Primary
10806171-4405
UT
Other
Enumeration date
04/15/2024
Last updated
08/29/2024
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