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Daniel Lee Martin, PA
Medical Physician Assistant in Tooele, Utah
NPI 1902840002

Daniel Lee Martin is a Medical Physician Assistant based in Tooele, UT and is specialized in Medical. Daniel Lee Martin practices in Tooele, UT and has the professional credentials of PA. The NPI Number for Daniel Lee Martin is 1902840002 and holds a License No. 347246-1206 (Utah).

The current practice location address for Daniel Lee Martin is 2055 N Main St, Tooele, UT and can be reached out via phone at 435-843-3670 and via fax at 435-833-9844.

Location: 2055 N Main St, Tooele, UT, 84074-9819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902840002
Provider Name
Daniel Lee Martin
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2055 N Main St, Tooele, UT, 84074-9819
Phone Number
435-843-3670
Fax Number
435-833-9844
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2055 N Main St
City
Tooele
State
Utah
Zip
84074-9819
Phone Number
435-843-3670
Fax Number
435-833-9844
person
Provider Business Mailing Address Details
Address
2055 N Main St
City
Tooele
State
Utah
Zip
84074-9819
Phone Number
435-843-3670
Fax Number
435-833-9844
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
347246-1206 (Utah)
Definition
Definition to come...
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