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NPI Code Detail

MEDICARE: AARON MATTHEW DALAN MD

MEDICARE: AARON MATTHEW DALAN MD
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
1208000000XPediatrics PhysicianMD00048049WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487769170
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON MATTHEW DALAN MD
Provider Business Mailing Address
First Line : 1911 COOKS HILL RD
Second Line :
City : CENTRALIA
State : WA
Zip : 98531
Country : US
Telephone Number : 360-736-6778
Fax Number : 360-736-6552
Provider Business Practice Location Address
First Line : 1911 COOKS HILL RD
Second Line :
City : CENTRALIA
State : WA
Zip : 98531-9073
Country : US
Telephone Number : 360-736-6778
Fax Number : 360-736-6552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 04/15/2010

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Directions to “ AARON MATTHEW DALAN MD” Practice Location

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