Provider Demographics
NPI:1437278710
Name:PATTON, DANIEL RAY (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:RAY
Last Name:PATTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:923 EXECUTIVE PARK DR
Mailing Address - Street 2:STE. C
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-7263
Mailing Address - Country:US
Mailing Address - Phone:801-262-1024
Mailing Address - Fax:801-262-1286
Practice Address - Street 1:923 EXECUTIVE PARK DR
Practice Address - Street 2:STE. C
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84117-7263
Practice Address - Country:US
Practice Address - Phone:801-262-1024
Practice Address - Fax:801-262-1286
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT175461-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor