Individual provider · Type 1 NPI

Wallace Dalton Jr.

Electroneurodiagnostic Specialist/Technologist · Mason, OH

NPI number 1093475816 Active

Practice location

8118 Corporate Way
Mason, OH 45040-7350

Mailing address

8118 Corporate Way, Mason, Oh 45040
Mason, OH 45040

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1093475816

Wallace Dalton Jr.'s National Provider Identifier is 1093475816, issued on Dec 20, 2021. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Mason, OH. The record was last updated on Dec 20, 2021.