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. |
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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 |
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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 |
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Provider Enumeration Date | 09/25/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9234139684 |
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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 |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1457469595 PECOS PAC ID: 5597765941 Enrollment ID: I20070109000031 |
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