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Individual

DALLON WHITNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
379 N 500 W, SUITE 1A, VERNAL, UT 84078-1956
(435) 789-1165
(435) 789-1169
Mailing address
379 N 500 W, SUITE 1A, VERNAL, UT 84078-1956
(435) 789-1165
(435) 789-1169

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49749541206
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
49749541206
LICENSE NUMBER
UT
Enumeration date
04/25/2007
Last updated
07/08/2007
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