Provider Demographics
NPI:1982994216
Name:DAUT, ALEXYS R (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXYS
Middle Name:R
Last Name:DAUT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:640 S STATE ST
Mailing Address - Street 2:POB 3RD FLOOR
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-3530
Mailing Address - Country:US
Mailing Address - Phone:302-480-1688
Mailing Address - Fax:302-257-5777
Practice Address - Street 1:401 N CARTER RD STE 201
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-1213
Practice Address - Country:US
Practice Address - Phone:302-514-3371
Practice Address - Fax:302-653-3876
Is Sole Proprietor?:No
Enumeration Date:2011-04-07
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEC1-0011051207Q00000X
MI4301101780207Q00000X
PAMT195674207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine