Dalton Tanner Pitts

NPI #1013531680 in Moscow, Idaho

Provider Information

NPI Number
1013531680
Entity Type
Individual
Name
Dalton Tanner Pitts
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
May 29, 2020
Last Updated
May 29, 2020

Practice Location

Address
1433 W A ST
City
Moscow
State
Idaho
ZIP Code
83843-3274
Phone
(626) 862-0430

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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