Dalton Mark Renick
DO | Pediatrics | Male
Dalton Mark Renick, DO is a Roanoke, Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dalton Mark Renick is
4040 Postal Dr, Roanoke, Virginia - 24018-6438. He can be contacted on phone at
540-772-4453 and fax number 540-772-4717.
Dalton Mark Renick is a sole proprietor of his business.
NPI number (Unique professional ID) for Dalton Mark Renick is
1174013932 which was assigned by NPPES on 16 May, 2018 and it was last updated on 18 Aug, 2022.
Dalton Mark Renick license number is
0102206530 for Pediatrics (208000000X) in Virginia.
Dalton Mark Renick is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dalton Mark Renick basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dalton Mark Renick |
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| Credential : | DO |
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| Gender : | Male |
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Business Address:
Dalton Mark Renick address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4040 Postal Dr
Roanoke, VA, 24018-6438
United States |
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| Phone Number : | 540-772-4453 |
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| Fax Number : | 540-772-4717 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1174013932 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 May, 2018 |
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| Last Updated On : | 18 Aug, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dalton Mark Renick are as mentioned. Primary taxonomy code for Dalton Mark Renick, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | LL51961 | SC |
| 208000000X | Pediatrics | Yes | 0102206530 | VA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 213 S Jefferson St Ste 1006
Roanoke, VA, 24011-1713
United States |
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| Phone Number : | 540-224-5715 |
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| Fax Number : | 540-224-5684 |
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Business Location:
Patients can refer following map for directions to
Dalton Mark Renick practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.