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NPI Code Detail

MEDICARE: ERIC DALTON DEIG DPM

MEDICARE:   ERIC DALTON DEIG  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist297050KY
2213E00000XPodiatrist07001479AIN

General Provider Information

NPI Number : 1437808839
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC DALTON DEIG DPM
Provider Business Mailing Address
First Line : 736 N ELM ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2938
Country : US
Telephone Number : 270-827-7199
Fax Number : 270-827-7376
Provider Business Practice Location Address
First Line : 736 N ELM ST
Second Line :
City : HENDERSON
State : KY
Zip : 42420-2938
Country : US
Telephone Number : 270-827-7199
Fax Number : 270-827-7376
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2022
Last Update Date : 06/12/2026

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Directions to “ ERIC DALTON DEIG DPM” Practice Location

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