Organization
EAR NOSE AND THROAT SPECIALISTS OF WEST CENTRAL OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL ELLIOTT DALTON MD (PHYSICIAN OWNER)
(419) 227-9500
Entity
Organization
Contact information
Practice address
770 WEST HIGH ST, SUITE 480, LIMA, OH 45801
(419) 227-9500
(419) 227-9503
Mailing address
770 WEST HIGH ST, SUITE 480, LIMA, OH 45801
(419) 227-9500
(419) 227-9503
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35083245
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2445705
—
OH
01
—
35083245
LICENSE NUMBER
OH
Enumeration date
04/30/2007
Last updated
03/07/2023
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