Dallin L De Mordaunt
Medical Specialty
Professional ID
- NPI: 1336128388
- PECOS ID: 5890723142
- Enrollment ID: I20050728001003
- Credential(MD, DO, DPM): MD
- Medical School: George Washington University School Of Medicine
- Medical School Graduation Year: 2001
Hospital Service
- Hospital CCN1: 460041
- Business Name (LBN)1: Davis Hospital And Medical Center
- Hospital CCN2: 290001
- Business Name (LBN)2: Renown Regional Medical Center
- Hospital CCN3: 290049
- Business Name (LBN)3: Renown South Meadows Medical Center
Medical Practices
- Organization Name: Robert G Berry Jr Md Ltd
- Group Practice ID assigned by PECOS: 2466488903
- Number of Group Practice member: 6
Location
- Address1: 6630 S Mccarran Blvd
- Address2: Suite A4
- City: Reno
- State: Nevada
- Zip Code: 89509
- Phone Number: (775)828-2873
Medical Practices
- Organization Name: Physician Group Of Utah Inc
- Group Practice ID assigned by PECOS: 8022032234
- Number of Group Practice member: 130
Location
- Address1: 2132 N 1700 W
- Address2: 230 Davis Orthopedics And Sports Medicine
- City: Layton
- State: Utah
- Zip Code: 84041
- Phone Number: (801)773-3900
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR): Yes