| Jep P. Dalton, M.d., P.c. | |
|
2055 E South Blvd Suite 706 Montgomery AL 36116-2001 | |
| (334) 288-2900 | |
| (334) 281-2637 |
| Full Name | Jep P. Dalton, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2055 E South Blvd, Montgomery, Alabama |
| Authorized Official Name and Position | Jep P Dalton (PRESIDENT) |
| Authorized Official Contact | 3342882900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jep P. Dalton, M.d., P.c. 2055 E South Blvd Suite 706 Montgomery AL 36116-2001 Ph: (334) 288-2900 | Jep P. Dalton, M.d., P.c. 2055 E South Blvd Suite 706 Montgomery AL 36116-2001 Ph: (334) 288-2900 |
| NPI Number | 1275633307 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9234139684 |
|---|---|
| Medicare Enrollment ID | O20070109000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275633307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 7421 (Alabama) | Primary |
| Provider Name | Jep P Dalton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457469595 PECOS PAC ID: 5597765941 Enrollment ID: I20070109000031 |
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