DR. Chad William Dallon, M.D.

NPI #1902164338 in Logan, Utah

Provider Information

NPI Number: 1902164338
Entity Type: Individual
Name: DR. Chad William Dallon, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Apr 23, 2012
Last Updated: Sep 16, 2021

Practice Location

Address: 1350 N 500 E
City: Logan
State: Utah
ZIP Code: 84341-2400
Phone: (435) 792-1940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Pediatrics	208000000X	Primary

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