DOUGLAS D DALTON II

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Dr DOUGLAS D DALTON II is a male medical professional, specializing in Physician Assistant. He graduated in 2000.

Contact

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

323 FALLS NWDR
ABINGDON
VA
242108093

Tel: 2766282612

DOUGLAS D DALTON II Information

Npi 1255300109
Pac Id 7214052778
Professional Enrollment Id I20100921000676
Last Name DALTON
First Name DOUGLAS
Middle Name D
Suffix II
Gender M
Credential
Medical School Name OTHER
Graduation Year 2000
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Group Practice Pac Id 9739099441
Number Of Group Practice Members 340
Line 1 Street Address 323 FALLS NWDR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ABINGDON
State VA
Zip Code 242108093
Phone Number 2766282612
Hospital Affiliation Ccn 1 490117
Hospital Affiliation Lbn 1 CARILION TAZEWELL COMMUNITY HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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