Provider Demographics
NPI:1639339328
Name:DALTON, JUSTIN B (MD)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:B
Last Name:DALTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 91734
Mailing Address - Street 2:DIVISION OF MEDICAL MICROBIOLOGY, MEYER B-130
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23291-1734
Mailing Address - Country:US
Mailing Address - Phone:804-358-6100
Mailing Address - Fax:804-342-7619
Practice Address - Street 1:1250 E MARSHALL ST
Practice Address - Street 2:PATHOLOGY
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5051
Practice Address - Country:US
Practice Address - Phone:804-828-7284
Practice Address - Fax:804-828-9749
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2014-03-10
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Provider Licenses
StateLicense IDTaxonomies
VA0101247770207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology