Marlee Kestin Dalton (NPI# 1730175761, PAC ID# 5294710638) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1730175761 |
| PAC ID by PECOS | 5294710638 |
| Professional Enrollment ID | I20040621001237 |
| Full Name | Marlee Kestin Dalton |
| Organization Legal Name | BLAKE R BEAZER MD INC |
| Address |
2356 N 400e 201 Mountain West Family Practice Tooele UT 84074-8112 |
| Phone Number | 4358822350 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1850323619 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460014 | MOUNTAIN WEST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2356 N 400e, 201 Mountain West Family Practice, Tooele, UT 84074-8112 | 4358822350 | BLAKE R BEAZER MD INC |
| Organization Legal Name | BLAKE R BEAZER MD INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blake R Beazer | Family Medicine | Blake R Beazer Md Inc | 2356 N 400e, 201 Mountain West Family Practice, Tooele, UT 84074-8112 |
| Street Address |
2356 N 400E 201 MOUNTAIN WEST FAMILY PRACTICE |
| City | TOOELE |
| State | UT |
| Zip | 84074-8112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blake R Beazer | Family Medicine | Blake R Beazer Md Inc | 2356 N 400e, 201 Mountain West Family Practice, Tooele, UT 84074-8112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Pagnani | Physical Therapy | 6727n State Hwy 36 300, Stansbury Park, UT 84074 | |
| Jennifer B Littledike | Physician Assistant | Patrick Green Md Pllc | 134 W 1180, Suite 5, Tooele, UT 84074-1483 |
| Patrick N Green | Family Medicine | Patrick Green Md Pllc | 134 W 1180, Suite 5, Tooele, UT 84074-1483 |
| Rynthia G Crosbie | Nurse Practitioner | Patrick Green Md Pllc | 134 W 1180, Suite 5, Tooele, UT 84074-1483 |
| Hilary S Seibert | Family Medicine | Patrick Green Md Pllc | 134 W 1180, Suite 5, Tooele, UT 84074-1483 |
| David K Morrill | Optometry | 102 W 1180, Suite 2, Tooele, UT 84074-1492 | |
| Alec Kitch | Family Medicine | Ihc Health Services Inc | 777 N Main St, Tooele, UT 84074-1611 |
| Shelley R Treuhaft | Nurse Practitioner | Ihc Health Services Inc | 777 N Main St, Tooele, UT 84074-1611 |
| Charles Edward Holt | Family Medicine | 280 N Main St, Tooele, UT 84074-1650 | |
| Brand P Reynolds | Nurse Practitioner | 491 N Main St, Tooele, UT 84074-1654 | |
| Find all physicians in zip 84074 | |||
| City | TOOELE |
| Zip Code | 84074 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TOOELE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Marlee Kestin Dalton.
| 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.