| Doctor Name: | MR. DOUGLAS MARK DALTON |
| NPI Number: | 1275759326 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.N., B.S.N. |
| License Number: | RN280045 |
| Business Practice Address: | 15065 Primrose Ln Middlefield, OH - 440629022 |
| Business Phone Number: | 4406321598 |
| Business Fax Number: | |
| Mailing Address: | 15065 Primrose Ln, MIDDLEFIELD |
| State: | OH |
| Postal Code: | 440629022 |
| Phone Number: | 4406321598 |
| Fax Number: | |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 06/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | RN280045 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |