Individual
HAROLD DEXTER DILLON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
J. H. QUILLEN VETERANS AFFAIRS MEDICAL CENTER 112E, BUILDING 8, DOGWOOD AVENUE, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
(423) 979-3530
Mailing address
J. H. QUILLEN VETERANS AFFAIRS MEDICAL CENTER 112E, P.O. BOX 4000, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
(423) 979-3530
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27768
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277685
—
SC
Enumeration date
12/23/2005
Last updated
12/10/2008
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