Individual
GARY CHAD DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2545 NORTH CANYON ROAD, #100, PROVO, UT 84057
(801) 373-1108
(801) 373-4008
Mailing address
3201 S MARYLAND PKWY, STE 300, LAS VEGAS, NV 89109-2425
(801) 373-1108
(801) 373-4008
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5293696-4101
UT
Other
Enumeration date
08/31/2006
Last updated
08/15/2016
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