Individual
DR. MILTON RANDALL DALBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 PRESERVE AVE W, #1826, PORT ROYAL, SC 29935-2514
(724) 553-6282
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-2258
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD041841L
PA
207R00000X
Internal Medicine Physician
Primary
34452
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012111900001
—
PA
01
—
110059269
RAILROAD MEDICARE
PA
05
—
344522
—
SC
Enumeration date
05/03/2006
Last updated
02/06/2019
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