Individual provider · NPI-1

Dr. Matthew Dalton, DC

Chiropractor · Providence, UT

NPI number1861153934
StatusActive
Last updated in NPPESDec 31, 2021

Details

NPI
1861153934
Entity type
Individual (NPI-1)
Name
Dr. Matthew Dalton
Credential
DC
Sex
Male
Sole proprietor
No
Enumeration date
Dec 31, 2021
Certification date
Dec 31, 2021
Last updated
Dec 31, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor12607268-1202UTYes

Practice location

169 N Gateway Dr Ste 130
Providence, UT 84332-9737

Phone 435-294-0619

Mailing address

585 E 400 S
River Heights, UT 84321-5509

Phone 801-255-0909

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