Individual
DR. RANDALL ELLIOTT DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 HARDIN LANE, SUITE 10, SOMERSET, KY 42503-3818
(606) 451-3890
(606) 451-3896
Mailing address
110 HARDIN LN, SUITE 10, SOMERSET, KY 42503-3818
(606) 451-3890
(606) 451-3896
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
43128
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2445705
—
OH
01
—
35083245
LICENSE #
—
Enumeration date
08/01/2006
Last updated
03/07/2023
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