Individual
DALTON COLT DEWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
212 NATURAL RESOURCES DR, LITTLE ROCK, AR 72205-1573
(501) 664-7200
Mailing address
212 NATURAL RESOURCES DR, LITTLE ROCK, AR 72205-1573
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PT2021-061
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/13/2020
Last updated
09/22/2021
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