Individual
DALTON LEE HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC LAT
Contact information
Practice address
1616 S 15TH ST, BURLINGTON, IA 52601-3744
(319) 457-0502
Mailing address
1616 SOUTH 15TH STREET, BURLINGTON, IA 52601
(319) 457-0502
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
2000021929
IA
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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