Dazley, Justin Moroni

Dazley, Justin Moroni is an individual health care provider with primary practice located at 738 N College Rd Suite A, Twin Falls ID 83301-3385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Dazley, Justin Moroni can be contacted via phone (208) 814-7000.

Contact Information

Primary practice address
738 N College Rd Suite A Twin Falls ID 83301-3385
Phone: (208) 814-7000
Fax: (208) 734-7294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M11685 Idaho

Profile Details

NPI number 1851531289
LBN Legal business name Dazley, Justin Moroni
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2009
Last updated Dec 10th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851531289 NPPES
Idaho MEDICAID 1851531289

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