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NPI Code Detail

MEDICARE: YVONNE DALTON MD INC

MEDICARE: YVONNE DALTON MD INC
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
1103K00000XBehavior Analyst35028542DOH

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 : 1538483573
Entity Type Code : Organization
Provider Name (Legal Business Name) : YVONNE DALTON MD INC
Provider Business Mailing Address
First Line : 2521 FAR HILLS AVE
Second Line :
City : DAYTON
State : OH
Zip : 45419-1505
Country : US
Telephone Number : 937-293-9113
Fax Number : 937-293-5287
Provider Business Practice Location Address
First Line : 2521 FAR HILLS AVE
Second Line :
City : DAYTON
State : OH
Zip : 45419-1505
Country : US
Telephone Number : 937-293-9113
Fax Number : 937-293-5287
Authorized Official
Title or Position : PSYCHIATRIST
Name : DR. YVONNE DALTON
Credential : M.D.
Telephone Number : 937-293-9113
Provider Enumeration Date : 03/19/2010
Last Update Date : 04/20/2010

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