NPI 1306112404 · live from the CMS NPI Registry
Paul Mark Daines, AuD
Audiologist in Logan, UT. National Provider Identifier 1306112404, active.
NPI record
| NPI | 1306112404 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 485 N Main St, Logan, UT 84321 |
| Practice phone | 435-753-4327 |
| Enumerated | March 22, 2012 |
| Last updated | March 22, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 7447284-4101 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.