Individual
HEIDI J DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
42113
AZ
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
0101056525
VA
2080P0203X
Pediatric Critical Care Medicine Physician
42113
AZ
2080P0203X
Pediatric Critical Care Medicine Physician
MD16683
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027923400
—
DC
05
—
6729037
—
VA
05
—
774251700
—
MD
Enumeration date
10/18/2006
Last updated
07/28/2022
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