Search › Utah › 1710I1003X
Dane Tackitt, IDMT
NPI 1366672750 · on the registry since 2009
Practice
- Address
- 7338 Loncki St
Hill Afb, UT 84056 - Phone
- (801) 777-4710
Registry record
- Primary taxonomy
- 1710I1003X
1710I1003X
- Sex
- Male
- Record last updated
- 2009-07-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah