Individual
ELIZABETH A DAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1510 12TH AVE RD STE 200, NAMPA, ID 83686-6008
(208) 302-6800
(208) 302-6855
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 302-9342
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2774269-1205
UT
207Q00000X
Family Medicine Physician
MC-1795
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D3292
—
UT
Enumeration date
07/10/2006
Last updated
12/28/2022
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