Individual
TIMOTHY J DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 S 70TH ST, SUITE 101, LINCOLN, NE 68510-4293
(402) 488-1400
(402) 488-3879
Mailing address
1101 S 70TH ST, SUITE 101, LINCOLN, NE 68510-4293
(402) 488-1400
(402) 488-3879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20868
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47055301100
—
NE
01
—
P00212360
RAILROAD MEDICARE
NE
Enumeration date
04/11/2006
Last updated
05/13/2021
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