Individual
MR. JEREMY ROBERT DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4102 24TH ST STE 103, LUBBOCK, TX 79410-1800
(806) 725-8760
(806) 725-8205
Mailing address
3420 22ND PL, LUBBOCK, TX 79410-1314
(806) 725-7800
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M9237
TX
Other
Enumeration date
09/30/2008
Last updated
10/13/2008
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