Demordaunt, Dallin L

Demordaunt, Dallin L is an individual health care provider with primary practice located at 2132 N 1700 W Ste 230 , Layton UT 84041-7060. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Demordaunt, Dallin L can be contacted via phone (801) 773-3900.

Contact Information

Primary practice address
2132 N 1700 W Ste 230 Layton UT 84041-7060
Phone: (801) 773-3900
Fax: (801) 773-3902
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine 204R00000X 10385220-1205 Utah
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 10385220-1205 Utah
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 10385220-1205 Utah

Profile Details

NPI number 1336128388
LBN Legal business name Demordaunt, Dallin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Mar 17th, 2018 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336128388 NPPES
Utah MEDICAID 3003101
Utah MEDICAID 100506883
Utah Other 11505358

Popular Providers