Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 160333-1202 | UT |
NPI | 1194894501 |
---|---|
Provider Name | Dr. Loral G Linton |
First Address | Kanab, UT 84741-3646 |
Second Address | Kanab, UT 84741-3646 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T78030 | (02) | UT |