Individual
DALTON ANDREW WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2059
(424) 306-6219
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MD2024-1078
NM
Other
Enumeration date
05/04/2021
Last updated
01/28/2026
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