DANIEL LEE MARTIN

TOOELE, UT
NPI1902840002
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: UT  347246-1206)
Enumeration Date2006-06-16
Last Update Date2007-07-08
Business Address
-- DANIEL LEE MARTIN P.A.
2055 N MAIN ST
TOOELE, UT 84074-9819
Phone number: 435-843-3670
Mailing Address
-- DANIEL LEE MARTIN P.A.
2055 N MAIN ST
TOOELE, UT 84074-9819
Phone number: 435-843-3640
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