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Individual

DR. DARYL ELDON HALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
360 S STATE ST, SUITE A, CLEARFIELD, UT 84015-1892
(801) 773-1821
(801) 825-5276
Mailing address
360 S STATE ST, SUITE A, CLEARFIELD, UT 84015-1892
(801) 773-1821
(801) 825-5276

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
22-160282-1202
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10450
ALTIUS IDENTIFIER
UT
01
107001037101
SELECT HEALTH PROV. ID
UT
01
19951
PEHP PROVIDER ID
UT
01
35602
DMBA PROVIDER ID
UT
01
51658
U OF U HEALTH ID
UT
01
870333664
FEDERAL ID NUMBER
UT
01
870395551HA4
EDUCATORS PROVIDER ID
UT
Enumeration date
08/02/2005
Last updated
12/27/2011
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