Individual
DR. JUSTIN COLIN DALKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60566861
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046879
—
WA
Enumeration date
10/10/2012
Last updated
08/04/2022
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