Individual
DR. JUSTIN COLIN DALKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
22 W MAIN ST, WALLA WALLA, WA 99362-2816
(509) 529-2020
(509) 529-2115
Mailing address
22 W MAIN ST, WALLA WALLA, WA 99362-2816
(509) 529-2020
(509) 529-2115
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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