Individual
DR. MARK D. DALTON
Active
Individual
DR. MARK D. DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D7000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099326302
—
TX
01
—
7564001
AETNA
—
01
—
85Y012
BCBS
—
Enumeration date
11/03/2005
Last updated
11/10/2010
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