Individual
DALTON MARK RENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4040 POSTAL DR, ROANOKE, VA 24018-6438
(540) 772-4453
(540) 772-4717
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
(540) 224-5684
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102206530
VA
208000000X
Pediatrics Physician
LL51961
SC
Other
Enumeration date
05/16/2018
Last updated
08/18/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us