Individual
DR. CHAD WILLIAM DALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 792-1940
Mailing address
200 HAWKINS DR, UIHC DEPARTMENT OF PEDIATRICS, IOWA CITY, IA 52242-1009
(319) 384-7899
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4925302-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2012
Last updated
09/16/2021
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