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Contact Information

SCOTT R DALTON, DO
2200 BERGQUIST DR
SUITE 1
LACKLAND AFB, TX78236
 Phone: 415-264-4136
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ND0900X 07 Physician/Dermatology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for SCOTT R DALTON · (Male)

NPI Number 1497725576
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/23/2006
Last updated 09/17/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # M9238
  • TX Medicaid 400786601
  • Other 1497725576 MILITARY
  • TX Other 400786602 CSHCN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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