Individual
BRYAN HENRY DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
539 CHAMPION RD # 4, JEFFERSONVILLE, IN 47130-7706
(181) 278-6908
Mailing address
4231 ROYAL OAK DR, NEW ALBANY, IN 47150-9789
(182) 786-9082
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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