Provider Demographics
NPI:1780876599
Name:TALTON, MARIA DORIS (ST)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:DORIS
Last Name:TALTON
Suffix:
Gender:F
Credentials:ST
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:81 SPRING HILL LN
Mailing Address - Street 2:
Mailing Address - City:MOUNTVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17554-1065
Mailing Address - Country:US
Mailing Address - Phone:717-285-7876
Mailing Address - Fax:
Practice Address - Street 1:81 SPRING HILL LN
Practice Address - Street 2:
Practice Address - City:MOUNTVILLE
Practice Address - State:PA
Practice Address - Zip Code:17554-1065
Practice Address - Country:US
Practice Address - Phone:717-285-7876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist