Individual
DANIEL DASTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
57 SOUTH MAIN STREET, MONROE, UT 84754-4578
(435) 527-0987
Mailing address
57 S MAIN ST, MONROE, UT 84754-4578
(435) 527-0987
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9169105-1202
UT
Other
Enumeration date
11/05/2014
Last updated
03/06/2015
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