Individual
DANIEL PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
128 S 300 W, BICKNELL, UT 84715-7722
(435) 425-3744
Mailing address
PO BOX 303, BICKNELL, UT 84715-0303
(143) 542-5374
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
01/06/2022
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