Individual
DR. JEP P. DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2055 E SOUTH BLVD, SUITE 706, MONTGOMERY, AL 36116-2001
(334) 288-2900
Mailing address
2055 E SOUTH BLVD, SUITE 706, MONTGOMERY, AL 36116-2001
(334) 288-2900
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
7421
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51012779
BLUE CROSS BLUE SHIELD
AL
Enumeration date
08/28/2006
Last updated
07/08/2007
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