Individual
HENRY TUCKER DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 FAIRFAX DR, SUITE 74, ARLINGTON, VA 22203-1762
(703) 528-3910
(703) 528-4367
Mailing address
3801 FAIRFAX DR, SUITE 74, ARLINGTON, VA 22203-1762
(703) 528-3910
(703) 528-4367
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21925
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006279
ANTHEM BC/BS
VA
01
—
2014566
UNITED HEALTHCARE
VA
01
—
2296785
CIGNA
VA
01
—
5585
CAREFIRST BC/BS
VA
05
—
6393080
—
VA
Enumeration date
07/03/2006
Last updated
07/08/2007
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