Individual
DR. DANIEL DENNIS ALSUP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
275 W 300 S, FOUNTAIN GREEN, UT 84632-7785
(435) 623-3200
Mailing address
48 W 1500 N, NEPHI, UT 84648-8900
(435) 623-3200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3126271205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548202096
—
UT
Enumeration date
11/24/2006
Last updated
07/15/2021
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