DAVID LAWRENCE DEATON

MT PLEASANT, UT
NPI1104844224
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: UT  8469216-1206)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: NV  PA654)
Enumeration Date2006-07-17
Last Update Date2013-08-19
Business Address
-- DAVID LAWRENCE DEATON PA
1100 S MEDICAL DR
MT PLEASANT, UT 84647-2222
Phone number: 435-462-3471
Mailing Address
-- DAVID LAWRENCE DEATON PA
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 435-462-3471