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NPI Code Detail

MEDICARE: SARAH ELIZABETH DALY DO

MEDICARE: SARAH ELIZABETH DALY DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician6681699-1204UT

General Provider Information

NPI Number : 1457549263
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ELIZABETH DALY DO
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number : 801-357-7930
Fax Number :
Provider Business Practice Location Address
First Line : 475 W 940 N
Second Line :
City : PROVO
State : UT
Zip : 84604-3301
Country : US
Telephone Number : 801-357-7930
Fax Number : 801-357-7014
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2007
Last Update Date : 06/23/2022

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