| NPI | 1750181376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A DALTON Owner Provider 435-233-6350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-11-10 |