Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 5002338-1205 | UT |
NPI | 1013985522 |
---|---|
Provider Name | Daniel Vernon Cahoon |
First Address | Provo, UT 84604-3344 |
Second Address | Provo, UT 84604-3344 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 13/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H66567 | (02) |