| Dayton Family Practice | |
|
1436 Railroad St Dayton TN 37321-1234 | |
| (423) 570-7005 | |
| Not Available |
| Full Name | Dayton Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1436 Railroad St, Dayton, Tennessee |
| Authorized Official Name and Position | Howard R Brock (OWNER) |
| Authorized Official Contact | 4235707005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dayton Family Practice 1436 Railroad St Dayton TN 37321-1234 Ph: (423) 570-7005 | Dayton Family Practice 1436 Railroad St Dayton TN 37321-1234 Ph: (423) 570-7005 |
| NPI Number | 1871754127 |
|---|---|
| Provider Enumeration Date | 06/19/2008 |
| Last Update Date | 06/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871754127 | NPI | - | NPPES |
| 702025457 | Other | TN | CARITEN |
| P00190427 | Other | TN | RAILROAD MEDICARE |
| 3357233 | Other | TN | CIGNA |
| 4095858 | Other | TN | BLUE CROSS |
| TN0101 | Other | TN | UNITED HEALTHCARE OF THE RIVER VALLEY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD0000036269 (Tennessee) | Primary |
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