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Individual

ALYSSA M. DALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
101 W 8TH AVE, SPOKANE, WA 99205-4805
(509) 474-3131
Mailing address
PO BOX 12229, WESTMINSTER, CA 99205-4805
(888) 432-2088

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01060940A
WA
207P00000X
Emergency Medicine Physician
Primary
P2222
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
297619301
TX
05
297619302
TX
05
8492449
WA
01
8DE452
BCBS-TX
TX
Enumeration date
10/13/2006
Last updated
02/25/2014
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