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Individual

CLAUDETTE ELLIS DALTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
235 CANTRELL AVE, HARRISONBURG, VA 22801-3248
(540) 437-7971
(540) 433-4534
Mailing address
3474 BLEAK HOUSE RD, EARLYSVILLE, VA 22936-2213
(434) 974-1844
(434) 974-1783

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101043234
VA
207L00000X
Anesthesiology Physician
26435
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0058616000
WV
05
NOT KNOWN
VA
Enumeration date
04/04/2007
Last updated
07/08/2007
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