Nicole Dalton P.A.

NPI 1326109992 - Physician Assistant - 363A00000X

NPI Details
NPI 1326109992
Gender Female
Enumeration Date 12/13/2006
Last Updated 04/28/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
241 W WEAVER RD
SUITE 145B
FORSYTH IL, 62535-9762, US
Phone (217) 794-5472
Fax (217) 794-5458
Business Location
2300 N EDWARD ST
DECATUR IL, 62526-4163, US
Phone (217) 876-2868
Fax (217) 876-2874
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085-001647
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According to our database, Nicole Dalton P.A. NPI is 1326109992, taxonomy code is 363A00000X and license number is 085-001647, license state is located at Illinois. Nicole Dalton P.A. physically located at 241 W Weaver Rd, Forsyth IL, 62535-9762. NPI Number Nicole Dalton P.A. has the Individual type.

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1326109992 NPI number is provided on an as is basis without warranty of any kind. 1326109992 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole Dalton P.A. are for informational purposes only.