NPI | 1114236940 |
---|---|
Other Name | LEO B. DALTON, D.O. |
Entity Type | Organization |
Authorized Contact | LEO BERNARD DALTON Owner 727-393-8715 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS3212) |
Enumeration Date | 2010-09-28 |
Last Update Date | 2010-09-28 |