NPI 1518079235 · live from the CMS NPI Registry
Gary Chad Daniels, MS
Audiologist in Provo, UT. National Provider Identifier 1518079235, active.
NPI record
| NPI | 1518079235 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 2545 North Canyon Road, #100, Provo, UT 84057 |
| Practice phone | 801-373-1108 |
| Mailing address | 3201 S Maryland Pkwy, Ste 300, Las Vegas, NV 89109 |
| Enumerated | August 31, 2006 |
| Last updated | August 15, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 5293696-4101 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.