SearchMissouri152WC0802X

Mark Dalton, O.D

NPI 1942291547 · on the registry since 2005 · sole proprietor

Practice

Address
14 Community Plz
Sullivan, MO 63080
Phone
(573) 468-2020
Fax
(636) 556-9952

Registry record

Primary taxonomy
152WC0802X
152WC0802X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-08-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri