Individual
DR. JEANINE DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
230 N LINDBERGH BLVD, FLORISSANT, MO 63031-5904
(314) 921-9377
(314) 830-2940
Mailing address
40 E NORTH ST, EUREKA, MO 63025-1205
(636) 200-4393
(636) 938-2650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02920
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314895400
—
MO
Enumeration date
06/23/2005
Last updated
10/02/2014
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