Daniel Dastrup (NPI# 1821494733, PAC ID# 2163749441) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1821494733 |
| PAC ID by PECOS | 2163749441 |
| Professional Enrollment ID | I20150325001944 |
| Full Name | Daniel Dastrup |
| Organization Legal Name | MONROE MOUNTAIN CHIROPRACTIC PLLC |
| Address |
57 S Main St Monroe UT 84754-4613 |
| Phone Number | 4355270987 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2014 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 1254658537 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 57 S Main St, Monroe, UT 84754-4613 | 4355270987 | MONROE MOUNTAIN CHIROPRACTIC PLLC |
| Organization Legal Name | MONROE MOUNTAIN CHIROPRACTIC PLLC |
| Physicians | 1 |
| Street Address |
57 S MAIN ST |
| City | MONROE |
| State | UT |
| Zip | 84754-4613 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Keith Griffin | Diagnostic Radiology | Radiologic Associates of Middletown PC | 57 S Main St, Middletown, CT 06457-3606 |
| Sarah H O Connell | Diagnostic Radiology | Radiologic Associates of Middletown PC | 57 S Main St, Middletown, CT 06457-3606 |
| Gary Roegiers | Physical Therapy | 57 S Main St, Fl 2, Middletown, CT 06457-3606 | |
| Anna M Gatewood | Physician Assistant | Radiologic Associates of Middletown PC | 57 S Main St, Middletown, CT 06457-3606 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tony K Torgerson | Physical Therapy | South Central Therapies Inc | 52 S Main, Monroe, UT 84754-4122 |
| Daniel J Bruse | Physical Therapy | South Central Therapies Inc | 52 S Main, Monroe, UT 84754-4122 |
| Drake Scott Mason | Nurse Practitioner | Central Utah Clinic P C | 568 S Main St, Monroe, UT 84754-4400 |
| Kierstin Petersen | Nurse Practitioner | Central Utah Clinic P C | 568 S Main St, Monroe, UT 84754-4400 |
| Jason D Okerlund | Nurse Practitioner | Central Utah Clinic P C | 568 S Main St, Monroe, UT 84754-4400 |
| City | MONROE |
| Zip Code | 84754 |
| Specialty | CHIROPRACTIC |
| City + Specialty | MONROE + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.